Individual
MRS. NATASHA LIETTE MONDRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1302 E. 5TH, PUEBLO, CO 81001
(719) 543-8718
(719) 543-5340
Mailing address
110 E. ROUTT AVE, PUEBLO, CO 81004
(719) 543-8718
(719) 543-5340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125971
CO
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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