Individual
MILLICENT JEAN MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1125 THREE SPRINGS BLVD, DURANGO, CO 81301-9033
(907) 403-0180
Mailing address
143 E SUNSET DR, MANCOS, CO 81328-9036
(231) 679-6192
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1642326
CO
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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