Individual
MRS. GINA M CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2866
(303) 338-4545
Mailing address
8805 E 55TH AVE, DENVER, CO 80238-3863
(303) 437-7317
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0331670
CO
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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