Individual
RIANE ADDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 COCHRANE CIRCLE, FORT CARSON, CO 80913
(719) 503-7304
Mailing address
1605 COCHRANE CIRCLE, FORT CARSON, CO 80913
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN131546
AZ
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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