Mary Illona Burford

NPI #1629595541 in Palmer Lake, Colorado

Provider Information

NPI Number: 1629595541
Entity Type: Individual
Name: Mary Illona Burford
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care
Enumeration Date: Aug 23, 2017
Last Updated: Aug 23, 2017

Practice Location

Address: 213 PARK ST
City: Palmer Lake
State: Colorado
ZIP Code: 80133
Phone: (719) 651-7635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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