Individual
MARIA HERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3807 CAMBRIA PL, COLORADO SPRINGS, CO 80918-2362
(240) 481-2645
Mailing address
3807 CAMBRIA PL, COLORADO SPRINGS, CO 80918-2362
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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