Individual
BOUALEM AIT AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDA
Contact information
Practice address
2045 FRANKLIN STREET, DENVER, CO 80205
(303) 743-5855
Mailing address
1017 S BIRCH ST, #B306, GLENDALE, CO 80246
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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