Individual
TIA GABRIELLE SWANEMYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
1848 COUNTY ROAD 316, IGNACIO, CO 81137-9707
(970) 779-8419
Mailing address
1848 COUNTY ROAD 316, IGNACIO, CO 81137-9707
(970) 779-8419
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
CO
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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