Individual
KELSEY LEE VILLALVAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4732 S IDALIA ST, AURORA, CO 80015-1711
(720) 621-2540
Mailing address
4732 S IDALIA ST, AURORA, CO 80015-1711
(720) 621-2540
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/29/2010
Last updated
08/19/2016
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