Individual
DANIELLA CECILIA ROEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 CLARK ST, ALAMOSA, CO 81101-2050
(719) 589-9021
Mailing address
304 WEST AVE, ALAMOSA, CO 81101-2154
(719) 589-9021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0022064
CO
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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