Individual
GALADREIL RIDGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 PARKMOOR VILLAGE DR APT V, COLORADO SPRINGS, CO 80917-5269
(719) 321-8412
Mailing address
3440 PARKMOOR VILLAGE DR APT V, COLORADO SPRINGS, CO 80917-5269
(719) 321-8412
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263236050
—
CO
Enumeration date
03/23/2021
Last updated
03/23/2021
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