Individual
REILLY SHAW CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2265 LAVA LN, ALAMOSA, CO 81101-3578
(719) 589-5176
Mailing address
11081 COUNTY ROAD 5 E, CENTER, CO 81125-9654
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0338641
CO
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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