Search › Colorado › 174400000X
Jodi Gannon
NPI 1437570090 · on the registry since 2013 · sole proprietor
Practice
- Address
- 41278 Lamborn Mesa Rd
Paonia, CO 81428 - Phone
- (970) 527-7666
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-30
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