Individual
DINA ELEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12055 W 2ND PL, LAKEWOOD, CO 80228-1506
(303) 425-0300
Mailing address
5280 GARRISON ST APT 2, ARVADA, CO 80002-3345
(303) 456-6201
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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