Individual
MRS. BRENNA CELESTE HATAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
1441 YORK ST, SUITE 303, DENVER, CO 80206
(303) 320-1174
Mailing address
1441 YORK ST, SUITE 303, DENVER, CO 80206
(303) 320-1174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009.0000026
VT
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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