Individual
NELL MARSE X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 HARLAN ST, LAKEWOOD, CO 80226-2213
(360) 649-0146
Mailing address
44 HARLAN ST, LAKEWOOD, CO 80226-2213
(360) 649-0146
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
04S209
CO
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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