Individual
MINJAE AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 S MONACO STREET APT.1624, DENVER, CO 80237
(585) 766-4182
Mailing address
4500 S MONACO ST APT 1624, DENVER, CO 80237-3425
(585) 766-4182
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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