EBONY KIDD

AURORA, CO
NPI1598951790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CO  37028)
Enumeration Date2007-09-20
Last Update Date2007-09-20
Business Address
-- EBONY KIDD
14701 E EXPOSITION AVE
AURORA, CO 80012-2623
Phone number: 303-743-5855
Mailing Address
-- EBONY KIDD
14701 E EXPOSITION AVE
AURORA, CO 80012-2623
Phone number: