Individual
MARY MCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 614-1400
Mailing address
4348 E 93RD DR, THORNTON, CO 80229-4116
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44021
CO
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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