Organization
EVOLVE CENTER FOR FUNCTIONAL MEDICINE, LLC
Active
Organization
EVOLVE CENTER FOR FUNCTIONAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE MARIE HATH D.C. (PRESIDENT)
(303) 666-7685
Entity
Organization
Contact information
Practice address
506 W BASELINE RD, LAFAYETTE, CO 80026-1723
(303) 666-7685
Mailing address
506 W BASELINE RD, LAFAYETTE, CO 80026-1723
(303) 666-7685
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CHR6544
CO
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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