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Organization

VENEZIA INNOVATIVE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LOVE DZAKPASU (EXECUTIVE DIRECTOR)
(720) 297-1002
Entity
Organization

Contact information

Practice address
15343 E 6TH AVE, UNIT- F, AURORA, CO 80011-9074
(303) 537-5078
(303) 856-7203
Mailing address
15343 E 6TH AVE, UNIT- F, AURORA, CO 80011-9009
(303) 537-5078
(303) 856-7203

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30504261
CO
05
55675051
CO
Enumeration date
05/04/2016
Last updated
05/04/2016
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