Individual
MARIE JANETTE MANZANARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSING
Contact information
Practice address
2003 CHISM DRIVE, PUEBLO, CO 81008
(719) 250-1463
(719) 621-4974
Mailing address
2003 CHISM DR, PUEBLO, CO 81008-1869
(719) 250-1463
(719) 621-4974
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
0082772
CO
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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