Most Relevant Information
Provider Data
NPI Number: | 1003046467 |
Provider Name: | PENELOPE HYLAND |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 07/20/2009 |
Last Updated: | 07/20/2009 |
Provider Practice Location
1026 W ABRIENDO AVE
PUEBLO
CO
810041128
Practice Location Phone/Fax
Phone: | 7195452746 |
Fax: | 7195454100 |
Provider Mailing Location
1302 CHINOOK LN
PUEBLO
CO
810011851
Provider Mailing Phone/Fax
Phone: | 7195452746 |
Fax: | 7195454100 |