Individual
JEANETTE MONTELEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
712 E 1ST ST, TRINIDAD, CO 81082-3013
(719) 846-2219
Mailing address
712 E 1ST ST, TRINIDAD, CO 81082-3013
(719) 846-2219
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
3566
NM
Other
Enumeration date
02/09/2006
Last updated
04/16/2008
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