Individual
SHANEA BARICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3222 11TH AVE, 313, EVANS, CO 80620-1545
(970) 888-2855
Mailing address
3222 11TH AVE, 313, EVANS, CO 80620-1545
(970) 888-2855
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
NA.0076853
CO
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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