Individual
ANDREA ISABELLA FUENTEALBA CARGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12631 EAST 17TH AVENUE, MS 8200, ROOM 2414, AURORA, CO 80045
(303) 724-9245
Mailing address
84 UINTA WAY APT 303, DENVER, CO 80230
(303) 724-9245
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
TL.0009046
CO
Other
Enumeration date
07/12/2022
Last updated
09/14/2022
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