Individual
MR. JUAN IGNACIO DE LA VARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1880 S PIERCE ST, SUITE 14, LAKEWOOD, CO 80232-7191
(303) 763-8433
(303) 936-0705
Mailing address
1880 S PIERCE ST, SUITE 14, LAKEWOOD, CO 80232-7191
(303) 763-8433
(303) 936-0705
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4650
CO
Other
Enumeration date
08/29/2006
Last updated
10/30/2007
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