Individual
VANESSA CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10291 DOGWOOD ST, FIRESTONE, CO 80504-6740
(401) 862-8935
Mailing address
10291 DOGWOOD ST, FIRESTONE, CO 80504-6740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1662265
CO
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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