Individual
MRS. TAMERA RUSCHELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16352 PARKSIDE DR, PARKER, CO 80134-3742
(303) 840-7175
Mailing address
16352 PARKSIDE DR, PARKER, CO 80134-3742
(303) 840-7175
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN.1618090
CO
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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