Individual
MS. CHANELL RAMONA PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
4147 OUTLOOK BLVD, UNIT Q, PUEBLO, CO 81008-2623
(719) 240-3678
Mailing address
4147 OUTLOOK BLVD, UNIT Q, PUEBLO, CO 81008-2623
(719) 240-3678
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905711
CO
224Z00000X
Occupational Therapy Assistant
1050715
CO
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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