Individual
JOHNATHON WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 E CEDAR ST, LAMAR, CO 81052-3506
(719) 241-0655
Mailing address
610 E CEDAR ST, LAMAR, CO 81052-3506
(719) 241-0655
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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