Individual
MICHELLE CHACON MACHUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 W 15TH ST APT 107, GREELEY, CO 80634-6454
(970) 405-1757
Mailing address
2316 W 15TH ST APT 107, GREELEY, CO 80634-6454
(970) 405-1757
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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