Individual
MRS. MEGAN NICOLE PASSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 THORNBERRY LN, PUEBLO, CO 81005-5110
(719) 248-8332
Mailing address
20 NONA BROOKS CT UNIT S, PUEBLO, CO 81005-2163
(719) 248-8332
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000905916
CO
Other
Enumeration date
12/04/2015
Last updated
04/17/2016
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