Basic Information
| Provider Information | |||||||||
| NPI: | 1649826215 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAMRON | ||||||||
| FirstName: | VALERIE | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | MA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12325 W. 80TH AVE | ||||||||
| Address2: | |||||||||
| City: | ARVADA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7202099221 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12055 W 2ND PL | ||||||||
| Address2: | |||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802281506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034250300 | ||||||||
| FaxNumber: | 3034325495 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2019 | ||||||||
| LastUpdateDate: | 08/10/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 247200000X | Y | Technologists, Technicians & Other Technical Service Providers | Technician, Other |
No ID Information.