Organization
TREE OF LIFE INTEGRATIVE HEALTH INC
Active
Organization
TREE OF LIFE INTEGRATIVE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KYMBRE SANDS GOVERNSON FNP (NURSE PRACTITIONER)
(720) 429-5748
Entity
Organization
Contact information
Practice address
310 JUDSON ST, LONGMONT, CO 80501-4815
(720) 429-5748
Mailing address
310 JUDSON ST, LONGMONT, CO 80501-4815
(720) 429-5748
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
06/21/2019
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