Individual
GHEISA LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11098 W JEWELL AVE, #A-5, LAKEWOOD, CO 80232-6123
(303) 984-4209
Mailing address
11098 W JEWELL AVE, #A-5, LAKEWOOD, CO 80232-6123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0016074
CO
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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