Individual
PALOMA PICON MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
5890 BEELER CT, DENVER, CO 80238-2376
(504) 235-1058
Mailing address
2714 STOUT ST, DENVER, CO 80205-3056
(504) 235-1058
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WLC505692
STATE DEPARTMENT OF EDUCATION
LA
Enumeration date
01/21/2022
Last updated
01/22/2022
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