Individual
JORGE ANTONIO OLIVAS ESTEBANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
195 W 14TH, RIFLE, CO 81650-4716
(970) 625-5200
(970) 625-4804
Mailing address
195 W 14TH, RIFLE, CO 81650-4716
(970) 625-5200
(970) 625-4804
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN135372
CO
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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