Individual
CATHERINE M VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
349 N BENITO DR, PUEBLO WEST, CO 81007-1181
(719) 821-0166
Mailing address
349 N BENITO DR, PUEBLO WEST, CO 81007-1181
(719) 821-0166
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN0033647
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614382300
OWCP FECA
KS
Enumeration date
01/06/2021
Last updated
01/06/2021
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