Individual
GILLES IAN NTWALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10151 E IDAHO PL APT J106, AURORA, CO 80247-2441
(720) 397-1456
Mailing address
10151 E IDAHO PL APT J106, AURORA, CO 80247-2441
(720) 397-1456
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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