Individual
ANNLISA S TAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13051 E 48TH AVE, DENVER, CO 80239-6110
(720) 352-1867
Mailing address
13051 E 48TH AVE, DENVER, CO 80239-6110
(720) 352-1867
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-4884623
TAX ID
CO
Enumeration date
05/12/2018
Last updated
06/16/2018
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