Individual
TINA WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S JERSEY ST, DENVER, CO 80224-1215
(720) 446-8650
Mailing address
401 S JERSEY ST, DENVER, CO 80224-1215
(720) 446-8650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/12/2016
Last updated
03/12/2016
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