| NPI | 1649436593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA SHEEN SIMON Licensed Practical Nurse 303-748-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CO 32620) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |