Individual
MALAINA DIANNE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
195 W 14TH, RIFLE, CO 81650-4716
(970) 625-5200
Mailing address
2594 HOWARD AVE, RIFLE, CO 81650-3299
(970) 250-8411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1666720
CO
Other
Enumeration date
12/14/2022
Last updated
12/15/2022
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