Individual
WINONA R PULLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2953 CIRCLING HAWK ST, GRAND JUNCTION, CO 81503-8306
(970) 623-2980
Mailing address
2953 CIRCLING HAWK ST, GRAND JUNCTION, CO 81503-8306
(970) 623-2980
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0160748
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN0160748
RN LICENSE
CO
Enumeration date
02/13/2014
Last updated
02/13/2014
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