Individual
SIARAH SIMONE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2366 S DILLON STREET, AURORA, CO 80014-8001
(720) 588-5947
Mailing address
2366 S DILLON ST, AURORA, CO 80014-2418
(720) 588-5947
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00785108
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
493745576
PASSPORT
—
Enumeration date
10/30/2018
Last updated
10/30/2018
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