Individual
CARRIE ROSE FITZEKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
712 TANAGERS CIRCLE, LONGMONT, CO 80504
(816) 689-7818
Mailing address
712 TANAGERS CIRCLE, LONGMONT, CO 80504
(816) 689-7818
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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