Individual
ASHLEY RAE MANCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
667 BANNOCK ST, DENVER, CO 80204
(303) 669-9098
Mailing address
13050 TAMARAC ST, THORNTON, CO 80602-8454
(303) 669-9098
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1646170
CO
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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