Individual
MRS. EMILINA RAQUEL HISHMEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6806 OASIS BUTTE DR, COLORADO SPRINGS, CO 80918-7305
(719) 597-4416
Mailing address
6806 OASIS BUTTE DR., COLORADO SPRINGS, CO 80923-7305
(719) 597-4416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01-20033814
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41025741
—
CO
Enumeration date
06/27/2007
Last updated
07/09/2007
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