Individual
DEBRA GIORDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 FORTINO BLVD, PUEBLO, CO 81008-1856
(719) 545-2468
Mailing address
1630 FORTINO BLVD., PUEBLO, CO 81008
(719) 545-2468
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
201792
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80354068
—
CO
Enumeration date
02/10/2015
Last updated
02/10/2015
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