Individual
TERESA M AYANDELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
280 EXEMPLA CIR, DEPT OF ORTHOPEDICS, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2009
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021242
KAISER COMMERCIAL NUMBER
CO
05
—
22124349
—
CO
Enumeration date
03/18/2008
Last updated
01/17/2020
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