Individual
INDIGO MARIE EARHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
562 29 RD, GRAND JUNCTION, CO 81504-8901
(970) 256-9424
Mailing address
2015 N 6TH ST, GRAND JUNCTION, CO 81501-7411
(720) 635-4634
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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