Individual
ANITA RUTH TABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
11245 HURON ST, DENVER, CO 80234-2806
(303) 457-6000
Mailing address
9350 MEADE ST, WESTMINSTER, CO 80031-6461
(303) 428-4903
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30918
CO
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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