Individual
MISTY DORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 W MORENO AVE, COLORADO SPRINGS, CO 80905-1731
(719) 572-6100
Mailing address
3625 RIALTO HTS APT 341, COLORADO SPRINGS, CO 80907-8644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2325316
CO
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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