Individual
CARMEN ELEANOR HEWLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3606 MIDDLE PEAK DR, BROOMFIELD, CO 80023-8369
(720) 285-6375
Mailing address
3606 MIDDLE PEAK DR, BROOMFIELD, CO 80023-8369
(720) 285-6375
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-009199
AZ
Other
Enumeration date
07/28/2019
Last updated
07/17/2020
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