Individual
SHANNON DUSHAE VELARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6500
(303) 504-6513
Mailing address
8001 E 11TH AVE, #3308, DENVER, CO 80220-3383
(303) 437-8762
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
40124
CO
Other
Enumeration date
10/16/2007
Last updated
07/11/2008
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