Tara Marie Cristallo
Tara Marie Cristallo is a Student in an Organized Health Care Education/Training Program in Denver, Colorado. Practices as a sole proprietor and works from 2 locations. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2022
Practice location Address checks out
777 Bannock St # MC0108Denver, CO 80204-4507
Phone: (303) 602-5193
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1959 Ne Pacific St Ste A-300, Seattle, WA 98195-0001 — (206) 543-7212
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence TL.0009615 (CO) |
|---|
Record details
| NPI number | 1275274532 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2022 |
| Last updated in NPPES | April 2, 2023 |
| Certification date | April 2, 2023 |
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Vivian Cox, MD
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Lake Crawford
777 Bannock St # MC0108, Denver, CO 80204-4507 · (303) 602-5193
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Madisyn Jaye Currie
777 Bannock St # MC0108, Denver, CO 80204-4507 · (303) 602-5193