Individual
LIZA MARCELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
COLORADO STATE UNIVERSITY, HARTSHORN HEALTH SERVICE, FORT COLLINS, CO 80523-0001
(970) 491-6548
(970) 491-0268
Mailing address
1905 RICE ST, LONGMONT, CO 80501-7127
(970) 491-6548
(970) 491-0268
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
152067
NY
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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