Individual
MISS TAHIRAH ASIMALI ASIMALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3949 19TH ST, BOULDER, CO 80304-1353
(303) 443-8062
Mailing address
3949 19TH ST, BOULDER, CO 80304-1353
(303) 443-8062
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17797
CA
Other
Enumeration date
11/22/2007
Last updated
11/22/2007
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