Organization
SONAS INFUSION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENAE BLANTON (OWNER / MANAGER)
(970) 247-2500
Entity
Organization
Contact information
Practice address
3750 MAIN AVE, SUITE 4, DURANGO, CO 81301-4033
(970) 247-2500
Mailing address
PO BOX 2065, HOUSTON, TX 77252-2065
(281) 820-1900
(281) 820-1901
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
186468
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186468
STATE LICENSURE
CO
Enumeration date
06/08/2011
Last updated
06/08/2011
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