Individual
TANGA KOLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6500
Mailing address
1494 S SALEM WAY, AURORA, CO 80012-4349
(720) 675-4706
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0330981
CO
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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