Individual
NOELANI M JUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2102
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013434
KAISER-COMMERCIAL NUMBER
—
05
—
91654238
—
CO
Enumeration date
02/27/2007
Last updated
01/17/2022
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