Individual
ABIGAIL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7700
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0334040
CO
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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