Individual
TIMOTHY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 S FLOWER ST, LAKEWOOD, CO 80226-4116
(303) 246-3796
Mailing address
715 S FLOWER ST, LAKEWOOD, CO 80226-4116
(303) 246-3796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1624077
CO
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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