Individual
AUDREY HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2965 EAST 109TH AVENUE, SPECIALTY FOOT CARE LLC, NORTHGLENN, CO 80233
(303) 980-0015
Mailing address
2965 E 109TH AVE, NORTHGLENN, CO 80233-5475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0109418
CO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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