Individual
DANYELLE DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 723-9806
Mailing address
7588 BENECIA DR, FOUNTAIN, CO 80817-7283
(719) 232-8131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
894405
TX
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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