Individual
SHERRY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCOTA
Contact information
Practice address
4411 SIERRA VISTA RD, ALAMOSA, CO 81101-8904
(719) 568-0396
Mailing address
4411 SIERRA VISTA RD, ALAMOSA, CO 81101-8904
(719) 568-0396
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000129
CO
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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