Individual
KUALANI DEJALE' STATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4973 URSULA ST, DENVER, CO 80239-4345
(720) 767-6202
Mailing address
4973 URSULA ST, DENVER, CO 80239-4345
(720) 767-6202
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
CO
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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