Individual
OTAVIA TEIXEIRA PEIXOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 812-6410
Mailing address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 812-6410
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL 0006297
CO
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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