Individual
CLAIRE MADEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4863 N NEVADA AVE, 136, COLORADO SPRINGS, CO 80918-3951
(314) 518-2663
Mailing address
4863 N NEVADA AVE, 136, COLORADO SPRINGS, CO 80918-3951
(314) 518-2663
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005675
IL
Other
Enumeration date
04/18/2012
Last updated
02/28/2015
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