Individual
CARLA VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2460 W 29TH AVE, DENVER, CO 80211-4359
(303) 322-7108
Mailing address
2460 W 26TH AVE, DENVER, CO 80211-5308
(303) 322-7108
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26454
CO
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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