Individual
DEITRA STARR SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 S POTOMAC ST, AURORA, CO 80012-4524
(303) 617-2300
Mailing address
1290 S POTOMAC ST, AURORA, CO 80012-4524
(303) 617-2300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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