Individual
DIANA RETHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 494-4200
Mailing address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 494-4200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
08/31/2017
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