Individual
IVANNA VDOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7799
Mailing address
9725 E. HARVARD AVE, APT T-320, DENVER, CO 80231-6623
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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