Individual
NAULIATE HUTAGALUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
995 KENTON ST, AURORA, CO 80010
(720) 277-4215
Mailing address
1091 KENTON ST, AURORA, CO 80010-4055
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
192821
CO
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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