Individual
VICKI LYNN MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2965 E 109TH AVE, NORTHGLENN, CO 80233-5475
(303) 980-0015
Mailing address
5517 GABRIEL DR, LOVELAND, CO 80538-1653
(970) 776-9066
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
0098071
CO
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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