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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