Individual
ZACHARIAS ISRAEL MAKOA VISITACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2368 RESEARCH PKWY, COLORADO SPRINGS, CO 80920-1027
(719) 309-0070
Mailing address
510 MILLSTREAM TER, COLORADO SPRINGS, CO 80905-4215
(719) 822-4706
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA.00791430
CO
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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