Individual
GABRIEL ANTHONY VALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2139 BOWSIDE DR, FORT COLLINS, CO 80524-6750
(720) 380-9446
Mailing address
2139 BOWSIDE DR, FORT COLLINS, CO 80524-6750
(720) 380-9446
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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