Individual
KYLIE ANN MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6395 SHERIDAN BLVD, ARVADA, CO 80003-5231
(303) 420-7545
Mailing address
5666 TABOR ST APT 201, ARVADA, CO 80002-2133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0024114
CO
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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