Individual
PETRONILO GUMBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 WHEELING ST, AURORA, CO 80045-7211
(303) 218-0752
Mailing address
4139 S LIVERPOOL WAY, AURORA, CO 80013-7460
(303) 218-0752
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN.0183597
CO
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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