Individual
SERENE RENEE BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, NOS
Contact information
Practice address
1650 COCHRANE CIR, FT CARSON, CO 80913-4613
(719) 526-7422
Mailing address
1650 COCHRANE CIR, FT CARSON, CO 80913-4613
(719) 526-7422
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31334
CO
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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