Individual
BETH HESTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
729 WALNUT ST, BOULDER, CO 80302-5361
(406) 799-5835
Mailing address
3796 63RD ST, BOULDER, CO 80301-3162
(406) 799-5835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT.0012606
CO
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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