Individual
ALICIA NICOLE PETRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 N 2ND STREET, CRIPPLE CREEK, CO 80813-8081
(719) 493-7027
Mailing address
PO BOX 1224, CRIPPLE CREEK, CO 80813-1224
(719) 493-7027
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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