JODELL C SAMS CRNFA, LLC

PUEBLO, CO
NPI1578129839
Entity TypeOrganization
Authorized ContactJODELL C WARNER
C RN Fa
719-240-2008
Organization Subpart ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2019-05-13
Last Update Date2019-05-13
Business Address
JODELL C SAMS CRNFA, LLC
2911 COUNTRY CLUB DR
PUEBLO, CO 81008-1202
Phone number: 719-240-2008
Mailing Address
JODELL C SAMS CRNFA, LLC
2911 COUNTRY CLUB DR
PUEBLO, CO 81008-1202
Phone number: 719-240-2008
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