Individual
MICHELLE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2006 LEXINGTON CT, FORT COLLINS, CO 80526-1515
(970) 980-6974
Mailing address
2006 LEXINGTON CT, FORT COLLINS, CO 80526-1515
(970) 980-6974
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
0002174
CO
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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