Individual
JOYCE ANN VISWANATHAN PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
791 CHAMBERS RD, AURORA, CO 80011-7112
(303) 617-2720
Mailing address
791 CHAMBERS RD, AURORA, CO 80011-7112
(303) 617-2720
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0045871
CO
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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