Individual
KUSA GABRIEL SAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 S DAYTON ST # 311-7, DENVER, CO 80247-1306
(720) 357-6294
Mailing address
630 S DAYTON ST # 311-7, DENVER, CO 80247-1306
(720) 357-6294
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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