Individual
THOMAS DE MINIAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 DELAWARE ST, DENVER, CO 80204-4532
(303) 602-1564
Mailing address
780 DELAWARE ST, DENVER, CO 80204-4532
(303) 602-1564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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