Provider Information for 1093145369
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SHONDA HILL
Sex: Female
NPI: 1093145369
Last Updated: 2025-03-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1093145369 | ||||||||||||
| Enumeration Date | 2013-11-22 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3470 BALTIMORE AVE PUEBLO, CO 81008-1520 United States Phone: 719-545-1181 | Fax: | ||||||||||||
| Primary Practice Address | 3470 BALTIMORE AVE PUEBLO, CO 81008-1520 United States Phone: 719-545-1181 | Fax: | ||||||||||||
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