Individual
SEAN ALTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 S VAN GORDON ST UNIT 717, LAKEWOOD, CO 80228-1764
(540) 519-4229
Mailing address
66 S VAN GORDON ST UNIT 717, LAKEWOOD, CO 80228-1764
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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