Individual
NICOLE EDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 INVERNESS WAY S, 125, CENTENNIAL, CO 80112-5828
(303) 759-1342
Mailing address
854 W BATTLEMENT PKWY, D206, PARACHUTE, CO 81635-9310
(970) 519-1317
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CO
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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