Individual
JON ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 CANYON VIEW RD, BOULDER, CO 80302-9634
(303) 530-2190
(303) 530-2190
Mailing address
36 CANYON VIEW RD, BOULDER, CO 80302-9634
(303) 530-2190
(303) 530-2190
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
19268
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04141198
—
CO
Enumeration date
02/04/2017
Last updated
02/04/2017
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