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Individual

LOUELLA I VIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 239-7364
Mailing address
7373 W GRANT RANCH BLVD, #2213, LITTLETON, CO 80123-2663
(303) 335-6468

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
113423
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011482
KAISER-COMMERCIAL NUMBER
Enumeration date
02/27/2007
Last updated
12/01/2007
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