Individual
MRS. AMANDA SARAH MAHINALANI PASCUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
45825 E STATE HIGHWAY 96, PUEBLO, CO 81006-9330
(719) 549-4174
Mailing address
4485 DANA PT APT 201, COLORADO SPRINGS, CO 80906-9151
(518) 698-8749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1653927
CO
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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