Individual
MARIE MORA-MENGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13 W 3RD ST STE 111, LA JUNTA, CO 81050-1591
(719) 383-3041
Mailing address
13 W 3RD ST STE 111, LA JUNTA, CO 81050-1591
(719) 383-3041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1664660
CO
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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