Individual
MIMI DURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2929 W 10TH AVE, DENVER, CO 80204-3363
(303) 504-6500
Mailing address
4725 W QUINCY AVE APT 401, DENVER, CO 80236-3260
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336302
MS
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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