Individual
MIA RENEE TATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT, RRT-ACCS
Contact information
Practice address
2427 N MAIN ST, PUEBLO, CO 81003-2439
(719) 415-2921
Mailing address
2427 N MAIN ST, PUEBLO, CO 81003-2439
(719) 415-2921
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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