MIRANDA JO DAVID

DIVIDE, CO
NPI1144390329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: CO  128371)
Enumeration Date2006-11-08
Last Update Date2007-07-09
Business Address
Mrs. MIRANDA JO DAVID R.N.
11505 W. HWY. 24
DIVIDE, CO 80814
Phone number: 719-687-6416
Mailing Address
Mrs. MIRANDA JO DAVID R.N.
PO BOX 482
DIVIDE, CO 80814-0482
Phone number: 719-687-6494