Individual
MRS. SUSANNE CLARIECE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
2540 BRADY DR, COLORADO SPRINGS, CO 80917-4021
(509) 429-4783
Mailing address
2540 BRADY DR, COLORADO SPRINGS, CO 80917-4021
(509) 429-4783
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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