Individual
JODI MARTINEZ MAGALLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
954 S HARMONY LN, PUEBLO WEST, CO 81007-2646
(719) 924-4356
Mailing address
954 S HARMONY LN, PUEBLO WEST, CO 81007-2646
(719) 924-4356
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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