Individual
DAKOTA MARIE TARANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 BENEDICTA AVE, TRINIDAD, CO 81082-2005
(719) 845-4262
Mailing address
529 W TOPEKA AVE, TRINIDAD, CO 81082-1439
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN.1688823
CO
Other
Enumeration date
11/15/2024
Last updated
12/03/2024
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