Individual
AMBER PELLETIER SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CLC
Contact information
Practice address
1039 OAK CIR, LAKEWOOD, CO 80215-4535
(860) 214-0139
Mailing address
2890 S FAIRFAX ST, DENVER, CO 80222-6839
(860) 214-0139
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86081222
CO
174N00000X
Lactation Consultant (Non-RN)
311226
CO
Other
Enumeration date
10/27/2021
Last updated
11/08/2022
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