| NPI | 1710252416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE TAYLOR Owner 719-238-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: CO RN117681) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |