Individual
MR. JOSE P VILLARRUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3590 JUBILANT PL, COLORADO SPRINGS, CO 80917-2513
(719) 491-0691
(719) 591-2140
Mailing address
3590 JUBILANT PL, COLORADO SPRINGS, CO 80917-2513
(719) 491-0691
(719) 591-2140
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
21547
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58689559
—
CO
Enumeration date
07/06/2016
Last updated
07/06/2016
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