Individual
SHANESE JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 CLARK ST, ALAMOSA, CO 81101-2050
(719) 587-3803
Mailing address
404 BELL AVE, ALAMOSA, CO 81101-2435
(719) 253-2514
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
264259
CO
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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