Individual
CHIQUITA L ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2141 N ACADEMY CIR, COLORADO SPRINGS, CO 80909-1672
(719) 597-4200
(719) 597-4495
Mailing address
2141 N ACADEMY CIR, COLORADO SPRINGS, CO 80909-1672
(719) 597-4200
(719) 597-4495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
130434
CO
Other
Enumeration date
07/31/2006
Last updated
04/22/2009
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