Individual
HANNA BOGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
1415 S GALENA WAY, DENVER, CO 80247-1976
(720) 436-6480
Mailing address
10340 E COLORADO AVE APT 1, AURORA, CO 80247-3103
(720) 436-6480
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0001773
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20161463843
PUBLIC UTILITIES COMMISION
CO
Enumeration date
03/28/2017
Last updated
03/28/2017
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