Individual
MAGGIE VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
104 S MAIN ST, LONGMONT, CO 80501-6216
(303) 678-8844
Mailing address
104 S MAIN ST, LONGMONT, CO 80501-6216
(303) 678-8844
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
VET.0009769
CO
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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