LATASHA DEANNE MYRIECKES

PUEBLO, CO
NPI1902376312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CO  APN0994336NP)
Enumeration Date2018-11-28
Last Update Date2018-11-28
Business Address
LATASHA DEANNE MYRIECKES APRN
4776 EAGLERIDGE CIR
PUEBLO, CO 81008-2189
Phone number: 719-553-1000
Mailing Address
LATASHA DEANNE MYRIECKES APRN
1150 LORDS HILL DR
FOUNTAIN, CO 80817-6601
Phone number: 719-322-5460
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