Individual
CANDACE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10065 E HARVARD AVE STE 400, DENVER, CO 80231-5943
(303) 614-1400
Mailing address
2905 INCA ST, APT. 4095, DENVER, CO 80202-1023
(708) 217-7259
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
197527
CO
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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