NPI 1053731950

Rickilee Martinez-Sprague

Practitioner Other Technician Pueblo, CO

Practice location

Address: 1026 W Abriendo Ave, Pueblo, CO 81004-1128
Phone: (719) 545-2746
Fax: (719) 545-4100
Mailing address: 1304 Chinook Ln, Pueblo, CO 81001-1851

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence DD.00205249 (CO)

Other Technician, Other providers in Colorado →

Registry record

NPI: 1053731950
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2014
Record last updated: 18 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.