Individual
HALEY MARIE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
121 N 6TH ST, CANON CITY, CO 81212-3329
(719) 275-2301
(719) 275-4131
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 587-1001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2026499
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2026499
LICENSE NUMBER
CO
Enumeration date
06/27/2022
Last updated
06/27/2022
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