Individual
ALYSSA MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
1911 MAIN AVE STE 240, DURANGO, CO 81301-5077
(774) 276-0828
Mailing address
1911 MAIN AVE STE 240, DURANGO, CO 81301-5077
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0000176
CO
Other
Enumeration date
06/04/2017
Last updated
06/04/2017
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