Individual
ELENA ILIEVA PASKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MT-12963
CO
174400000X
Specialist
Primary
PT 0012076
CO
Other
Enumeration date
06/07/2012
Last updated
03/21/2014
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