Individual
SUSAN BROCK KRACKLAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
2400 ROSE CT, LOUISVILLE, CO 80027-2364
(303) 585-0458
Mailing address
2400 ROSE CT, LOUISVILLE, CO 80027-2364
(303) 585-0458
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
06/21/2015
Last updated
06/21/2015
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