Individual
JERIMIE JAMEE JACOB OLVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11674 GRANBY ST, COMMERCE CITY, CO 80603-7203
(720) 255-6889
Mailing address
PO BOX 33611, NORTHGLENN, CO 80233-0611
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
CO
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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