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Individual

MISS TRISTA MARIE HOFSCHULTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNIM

Contact information

Practice address
1325 BOWSTRING RD, MONUMENT, CO 80132-8580
(970) 846-0127
(719) 487-2689
Mailing address
7373 E BATES DR, DENVER, CO 80231-6010
(970) 846-0127
(720) 747-5837

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
1845
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1845
AMERICAN BOARD OF REGISTRATION OF ELECTROENCEPHALOGRAPHIC AND EVOKED POTENTIAL..
CO
Enumeration date
09/01/2010
Last updated
09/01/2010
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