Individual
MRS. CLEO ANNA MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 SOUTH 6TH STREET, MANASSA, CO 81141-0404
(719) 580-2757
Mailing address
PO BOX 404, MANASSA, CO 81141-0404
(719) 580-2757
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
7765
CO
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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