Individual
MR. JAVIER ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN.0990667-NP
CO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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