Most Relevant Information
Provider Data
| NPI Number: | 1003650235 |
| Provider Name: | GINA MARIE CORSENTINO |
| Entity Type: | Individual |
| Taxonomy Code: | 227900000X |
| Specialty: | Respiratory Therapist, Registered |
| License Number: | 885 |
Most Important Dates
| Enumeration Date: | 06/22/2024 |
| Last Updated: | 06/22/2024 |
Provider Practice Location
3732 FAIRFIELD LN
PUEBLO
CO
810053251
Practice Location Phone/Fax
| Phone: | 7196718306 |
| Fax: |
Provider Mailing Location
3732 FAIRFIELD LN
PUEBLO
CO
810053251
Provider Mailing Phone/Fax
| Phone: | 7196718306 |
| Fax: |