Provider Demographics
NPI:1942431267
Name:CHERIE MONLEZUN, LLC
Entity Type:Organization
Organization Name:CHERIE MONLEZUN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:CHERIE
Authorized Official - Last Name:MONLEZUN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CMT
Authorized Official - Phone:303-355-0363
Mailing Address - Street 1:3055 ROSLYN ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3323
Mailing Address - Country:US
Mailing Address - Phone:303-355-0363
Mailing Address - Fax:303-355-0368
Practice Address - Street 1:3055 ROSLYN ST
Practice Address - Street 2:SUITE 120
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3323
Practice Address - Country:US
Practice Address - Phone:303-355-0363
Practice Address - Fax:303-355-0368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4897174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty