Individual
MS. REGINA MARIA VICTORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COT
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-6650
Mailing address
4304 WOLFF ST, DENVER, CO 80212-2418
(303) 912-4942
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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