Individual
DONAVEN BLAKE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2935 BASELINE RD, BOULDER, CO 80303-2366
(303) 545-0844
Mailing address
350 ARAPAHOE AVE APT 23, BOULDER, CO 80302-5842
(720) 590-2641
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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