Individual
SAMANTHA CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 S VINE ST, DENVER, CO 80210-5264
(970) 743-0632
Mailing address
2950 BIXBY LN APT B311, BOULDER, CO 80303-2232
(615) 803-2205
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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