Individual
MISS LINDSEY SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
30330 PALOMINO DR, EVERGREEN, CO 80439-8602
(303) 670-7867
Mailing address
PSC 41 BOX 6827, APO, AE 09464-0069
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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