Individual
AMANDA JO HERBSTREITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 678-2300
Mailing address
3250 E 156TH AVE, BRIGHTON, CO 80602-8700
(720) 979-8726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/27/2008
Last updated
04/27/2008
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