JACKIE HERRIN

PUEBLO, CO
NPI1184203150
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CO  PN.0045422)
Enumeration Date2021-04-06
Last Update Date2021-04-06
Business Address
JACKIE HERRIN LPN
275 W ABRIENDO AVE
PUEBLO, CO 81004-1870
Phone number: 719-621-1929
Mailing Address
JACKIE HERRIN LPN
2611 EMILIA ST
PUEBLO, CO 81005-2816
Phone number: