Individual
FARTUN MOHAMED FARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11059 E BETHANY DR, AURORA, CO 80014-2622
(303) 617-2300
(303) 617-2365
Mailing address
11059 E BETHANY DR, AURORA, CO 80014-2622
(303) 617-2300
(303) 617-2365
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G01784
—
CO
05
—
XXXXXXXXXX
—
CO
Enumeration date
01/10/2019
Last updated
01/10/2019
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