Organization
HAIR-APYBYPERMELIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERMELIA CATINA THOMAS JESSIE (OWNER/OPERATOR)
(770) 875-6225
Entity
Organization
Contact information
Practice address
301 N MAIN ST STE 115, PUEBLO, CO 81003-4509
(770) 875-6225
Mailing address
301 N MAIN ST STE 115, PUEBLO, CO 81003-4509
(770) 875-6225
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/19/2024
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