Individual
JANICE M MICHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 743-5855
Mailing address
580 MOHAWK DR, BOULDER, CO 80303-0763
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66944
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003241
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/15/2007
Last updated
04/08/2008
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