Individual
PETRA SHAMA SAMBERGEROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCCE, CLD, CLE
Contact information
Practice address
181 WEST MEADOW DRIVE, VAIL, CO 81657
(970) 479-7181
Mailing address
PO BOX 1324, AVON, CO 81620-1324
(970) 390-7754
(970) 748-0618
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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