Individual
TIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 W JEFFERSON AVE, ENGLEWOOD, CO 80110-3536
(833) 906-4148
(877) 805-7372
Mailing address
450 W JEFFERSON AVE, ENGLEWOOD, CO 80110-3536
(877) 805-7372
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
CO
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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