Individual
PAMELA RAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1709 N TAYLOR CIR, BAYFIELD, CO 81122-9473
(970) 946-5882
Mailing address
1709 N TAYLOR CIR, BAYFIELD, CO 81122-9473
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-6962
CO
Other
Enumeration date
04/29/2012
Last updated
04/29/2012
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