Individual
AMALIE MILLER CARRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4306
Mailing address
4462 CONTINENTAL HTS APT 321, COLORADO SPRINGS, CO 80924-1231
(770) 561-8587
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007203
CO
Other
Enumeration date
02/07/2022
Last updated
08/08/2024
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