Individual
MRS. HEATHER MARIE SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 614-1510
Mailing address
3421 W 54TH AVE, DENVER, CO 80221-6507
(303) 433-3173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
38245
CO
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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