Individual
TANYA MICHELLE ARCHULETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11636 CLERMONT ST, THORNTON, CO 80233-5816
(719) 480-3333
Mailing address
11636 CLERMONT ST, THORNTON, CO 80233-5816
(719) 480-3333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1664477
CO
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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