Individual
DOMINGO FAJARDO BELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 E 9TH AVE # USA, DENVER, CO 80203-3318
(720) 651-7288
Mailing address
PO BOX 460832, DENVER, CO 80246-0832
(720) 651-7288
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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