Individual
MS. MARIE LOUISE MASCIOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN
Contact information
Practice address
929 ELM ST, PUEBLO, CO 81004-2531
(719) 542-4233
Mailing address
929 ELM ST, PUEBLO, CO 81004-2531
(719) 542-4233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
48613
CO
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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