Individual
AMANDA HIDALGO TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10759 BAILY ST, FIRESTONE, CO 80504-6585
(805) 861-8769
Mailing address
10759 BAILY ST, FIRESTONE, CO 80504-6585
(805) 861-8769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1638925
CO
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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