Individual
TARREN BUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13 W 3RD ST STE 111, LA JUNTA, CO 81050-1591
(719) 383-3041
(719) 383-3060
Mailing address
13 W 3RD ST STE 111, LA JUNTA, CO 81050-1536
(719) 383-3041
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
48648
CO
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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