Individual
IAN ESPINOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
680 HARLAN ST, LAKEWOOD, CO 80214-2340
(720) 630-2000
Mailing address
1804 MANASSA ST, PUEBLO, CO 81001-1132
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
Q230113
CO
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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