Individual
MRS. PATRICIA DEANA CUADRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
44 E. SPAULDING AVE., PUEBLO WEST, CO 81007
(719) 214-1272
Mailing address
974 E. LONGSDALE DR, PUEBLO WEST, CO 81007
(719) 214-1272
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7146
CO
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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