Individual
ERIKA JO RETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 S KNOX DR, PUEBLO WEST, CO 81007-2606
(719) 568-4650
Mailing address
917 S KNOX DR, PUEBLO WEST, CO 81007-2606
(719) 568-4650
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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