Individual
MRS. TISHA NICHELLE JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(888) 681-7878
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/15/2022
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