Individual
JANI PUNGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7319 S CODY ST, LITTLETON, CO 80128-4210
(269) 262-2528
Mailing address
7319 S CODY ST, LITTLETON, CO 80128-4210
(269) 262-2528
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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