Individual
MRS. CATHY WALTON-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
271 GCR 4421, FS#1, GRAND LAKE, CO 80447
(970) 531-3055
Mailing address
PO BOX 1157, GRAND LAKE, CO 80447-1157
(970) 531-3055
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
CO
Other
Enumeration date
09/25/2019
Last updated
01/24/2020
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