Individual
CARRIE RIANTONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1155 ALPINE AVE STE 320, BOULDER, CO 80304-3400
(303) 938-5700
Mailing address
805 SUMMER HAWK DR APT T115, LONGMONT, CO 80501-8823
(303) 880-4589
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
165118
CO
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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