SearchColorado103TS0200X

Karlissa Pollack

NPI 1790419323 · on the registry since 2022 · sole proprietor

Practice

Address
11605 Destination Dr Apt 5305
Broomfield, CO 80021
Phone
(270) 872-3790

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-11

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