ELSA ECCLES

PUEBLO, CO
NPI1174910822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  000202004)
Enumeration Date2015-04-21
Last Update Date2015-04-21
Business Address
-- ELSA ECCLES RDH
900 W ORMAN AVE
PUEBLO, CO 81004-1430
Phone number: 719-549-3286
Mailing Address
-- ELSA ECCLES RDH
900 W ORMAN AVE
PUEBLO, CO 81004-1430
Phone number: 719-549-3286