Individual
BRETT MACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 W ORMAN AVE, PUEBLO, CO 81004-1837
(719) 545-2221
Mailing address
219 W ORMAN AVE, PUEBLO, CO 81004-1837
(719) 545-2221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0190877
CO
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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