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Individual

NADYNE DAVALOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CAC III

Contact information

Practice address
2222 E 18TH AVE, DENVER, CO 80206-1224
(303) 629-5293
Mailing address
10515 CROSS COUNTRY LN, LITTLETON, CO 80125-7964
(303) 989-8975

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC0003618
CO
163W00000X
Registered Nurse
0074855
CO

Other

Enumeration date
10/15/2014
Last updated
10/15/2014
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