Individual
KRISTEN WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 FRONT STREET, FAIRPLAY, CO 80440-8044
(719) 836-1833
Mailing address
PO BOX 266, FAIRPLAY, CO 80440-0266
(970) 481-8441
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
MT.0015206
CO
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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