Individual
TAMARA BORUKHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13057 E COLORADO AVE, AURORA, CO 80012-5322
(720) 297-7542
Mailing address
13057 E COLORADO AVE, AURORA, CO 80012-5322
(720) 297-7542
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
201562498600SL
CO
Other
Enumeration date
01/19/2016
Last updated
02/12/2021
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