Individual
KATHY DITLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
350 PEAK ONE DRIVE, FRISCO, CO 80443
(970) 668-1458
Mailing address
PO BOX 4682, FRISCO, CO 80443-4682
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
116724
CO
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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