SearchColorado2255R0406X

Rebecca Gardom, MATVI, CLVT, COMS

NPI 1407539927 · on the registry since 2023

Practice

Address
4505 S Pagosa Cir
Aurora, CO 80015
Phone
(928) 245-3164

Registry record

Primary taxonomy
2255R0406X
2255R0406X
Also registered as
225CX0006X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado