Individual
MARINA GOUGOULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 S HAVANA ST, # 707, AURORA, CO 80012-4018
(720) 748-7843
(720) 748-2174
Mailing address
1450 S HAVANA ST, # 707, AURORA, CO 80012-4018
(720) 748-7843
(720) 748-2174
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
970221188
CO
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/02/2015
Last updated
06/03/2016
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