Individual
YASHA JAFFUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 FAIRVIEW AVE, CANON CITY, CO 81212-2863
(719) 275-0665
Mailing address
12573 COUNTY ROAD 103, WALSENBURG, CO 81089-9417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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