Individual
MICHELLE RENE BEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
221 S UNION AVE, PUEBLO, CO 81003-3490
(719) 545-1114
Mailing address
221 S UNION AVE, PUEBLO, CO 81003-3490
(719) 545-1114
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100679
CO
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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