Individual
RAQUELINA ISABEL MACALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
212 W 13TH ST, PUEBLO, CO 81003
(719) 696-9027
Mailing address
4230 NONCHALANT CIRCLE N, COLORADO SPRINGS, CO 80917
(719) 314-5988
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0334462
CO
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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