Organization
CARLOTTA J. FENDRICH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOTTA J FENDRICH NP (NURSE PRACTITIONER)
(719) 545-3555
Entity
Organization
Contact information
Practice address
401 MICHIGAN ST, PUEBLO, CO 81004-2138
(719) 545-3555
(719) 545-1517
Mailing address
401 MICHIGAN ST, PUEBLO, CO 81004-2138
(719) 545-3555
(719) 545-1517
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
105868
CO
Other
Enumeration date
04/29/2014
Last updated
05/12/2014
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