Individual
CHEYENNE AUTUMN ANGELICA WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 KING ST, DENVER, CO 80219-1326
(720) 415-0384
Mailing address
325 KING ST, DENVER, CO 80219-1326
(720) 415-0384
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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