Individual
MUBORAK J GANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6650 E ARIZONA AVE, DENVER, CO 80224-1887
(303) 931-2415
Mailing address
PO BOX 22779, DENVER, CO 80222-0779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1622277
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622277
CO STATE RN LICENSE
CO
Enumeration date
01/21/2018
Last updated
01/21/2018
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