Jesus Tachiquin-Frias, RN

NPI #1104104777 in Laramie, Wyoming

Provider Information

NPI Number: 1104104777
Entity Type: Individual
Name: Jesus Tachiquin-Frias, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Jul 29, 2011
Last Updated: Feb 1, 2012

Practice Location

Address: 1263 N 15TH ST
City: Laramie
State: Wyoming
ZIP Code: 82072-2343
Phone: (307) 745-8915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary
Community Health Worker	172V00000X

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