MARIAH LYNN MIKULAS

PUEBLO, CO
NPI1588954598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: CO  271089)
Enumeration Date2011-04-11
Last Update Date2011-04-11
Business Address
MARIAH LYNN MIKULAS COTA
2724 FRANKLIN AVE
PUEBLO, CO 81003-1330
Phone number: 719-469-4170
Mailing Address
MARIAH LYNN MIKULAS COTA
2724 FRANKLIN AVENUE
PUEBLO, CO 81003
Phone number: 719-469-4170