Individual
JONATHAN M. LIAOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 W COLORADO AVE, TELLURIDE, CO 81435-9145
(702) 468-9952
Mailing address
725 W COLORADO AVE, TELLURIDE, CO 81435-9145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002246
CO
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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