Individual
LUCIENNE M NDOUTOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4891 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6752
(303) 456-0600
Mailing address
1025 DECATUR ST APT 1211025, DENVER, CO 80204-3341
(720) 218-9846
(720) 218-9846
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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