Individual
MARY THISTLEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 239-7433
Mailing address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
98325
CO
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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