Individual
SHANA LYNN KUBENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 ANITA ST, PUEBLO, CO 81001-2122
(719) 225-6510
Mailing address
1401 ANITA ST, PUEBLO, CO 81001-2122
(719) 225-6510
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CO
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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