Individual
SEONDRA PAINTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
308 LAVASTONE CT, WILEY, CO 81092
(719) 691-1868
Mailing address
PO BOX 128, 308 LAVASTONE CT, WILEY, CO 81092
(719) 691-1868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1618586
CO
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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