Individual
MARCO LORENZO TAMONDONG TIUSECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1335 6TH ST, DEL NORTE, CO 81132-3201
(719) 657-1105
Mailing address
925 LA DUE AVE, ALAMOSA, CO 81101-3242
(726) 209-9661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0019473
CO
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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