Individual
MRS. ALRINA MANATAD MATIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 E 123RD DR, THORNTON, CO 80241-2852
(720) 779-6550
Mailing address
3450 E 123RD DR, THORNTON, CO 80241-2852
(720) 779-6550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1666071
CO
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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