Individual
FIRIAL AMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1733 VINE ST, DENVER, CO 80206-1119
(303) 504-1000
Mailing address
4382 S HANNIBAL WAY APT 244, AURORA, CO 80015-4444
(720) 328-6109
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
629235
CO
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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