Individual
ESBEIDY GURROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 UNION BLVD STE 125, DENVER, CO 80228-1856
(866) 523-4268
Mailing address
802 LAREDO ST, AURORA, CO 80011-7439
(720) 339-0987
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
11-160-0817
CO
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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