Individual
MR. JOSHUA SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 PINE ST, DEL NORTE, CO 81132-2243
(719) 657-0616
Mailing address
560 PINE ST, DEL NORTE, CO 81132-2243
(719) 657-0616
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
146L00000X
Paramedic
—
CO
146M00000X
Intermediate Emergency Medical Technician
—
CO
146N00000X
Basic Emergency Medical Technician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588652325
—
CO
Enumeration date
10/14/2013
Last updated
10/14/2013
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