person
Tara Marie Cristallo
Student in an Organized Health Care Education/Training Program in Denver, Colorado
NPI 1275274532

Tara Marie Cristallo is a Student in an Organized Health Care Education/Training Program based in Denver, CO. Tara Marie Cristallo practices in Denver, CO. The NPI Number for Tara Marie Cristallo is 1275274532 and holds a License No. TL.0009615 (Colorado).

The current practice location address for Tara Marie Cristallo is 777 Bannock St # Mc0108, Denver, CO and can be reached out via phone at 303-602-5193.

Location: 777 Bannock St # Mc0108, Denver, CO, 80204-4597
person
Provider Profile Details
NPI Number
1275274532
Provider Name
Tara Marie Cristallo
Credential
Provider Entity Type
Individual
Gender
Female
Address
777 Bannock St # Mc0108, Denver, CO, 80204-4597
Phone Number
303-602-5193
Fax Number
Provider Enumeration Date
04/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
777 Bannock St # Mc0108
City
State
Zip
80204-4507
Phone Number
303-602-5193
Fax Number
person
Provider Business Mailing Address Details
Address
777 Bannock St # Mc0108
City
State
Zip
80204-4507
Phone Number
303-602-5193
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
TL.0009615 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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