Individual
ENOCH TRUEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4760 FLINTRIDGE DR STE 125, COLORADO SPRINGS, CO 80918-4267
(719) 465-3695
Mailing address
9464 PORTMARNOCK CT, PEYTON, CO 80831-4133
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-55266
CO
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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