Individual
ALLEN JOEL HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18664 ROAD 22.6, DOLORES, CO 81323-8603
(970) 529-6930
Mailing address
18664 ROAD 22.6, DOLORES, CO 81323-8603
(970) 529-6930
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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