Individual
DEMI RAE O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6100
Mailing address
4060 CANDEA CT, COLORADO SPRINGS, CO 80916-2424
(406) 450-4908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-146469
MT
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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