Individual
CITA CISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 S HAVANA ST STE 312, AURORA, CO 80012-4023
(720) 207-8492
Mailing address
1450 S HAVANA ST STE 312, AURORA, CO 80012-4023
(720) 207-8492
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
CO
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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