Individual
DAVERY EZELL JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7754 MOUNTAIN LAUREL DR, COLORADO SPRINGS, CO 80922-6306
(719) 619-6362
Mailing address
7754 MOUNTAIN LAUREL DR, COLORADO SPRINGS, CO 80922-6306
(719) 619-6362
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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