Individual
NOEL DELA ROSA LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
2000 16TH ST, DENVER, CO 80202-5117
(303) 405-2100
Mailing address
430 E NERGE RD, ROSELLE, IL 60172-4917
(224) 402-1330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041 300897
IL
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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