Individual
SENAIDA ALEXIS DE LA O
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 W 13TH AVE, DENVER, CO 80204-2407
(800) 805-6989
Mailing address
5558 WORCHESTER ST, DENVER, CO 80239-3726
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0336934
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O91553801
—
CO
Enumeration date
11/02/2021
Last updated
11/02/2021
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