Individual
ALI SHOAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 LANSING ST, AURORA, CO 80010-4611
(303) 847-1971
Mailing address
320 LANSING ST, AURORA, CO 80010-4611
(303) 847-1971
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
07/07/2021
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