Individual
MRS. SHIRLEY ANN TIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
10065 E HARVARD AVE, STE #400, DENVER, CO 80231-5968
(303) 614-1493
Mailing address
40200 E 136TH AVE, HUDSON, CO 80642-7711
(303) 659-3021
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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