Organization
K&T CLEAN UP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA RAE SELDERS (OWNER / PARTNER)
(970) 424-3184
Entity
Organization
Contact information
Practice address
340 S ASH ST, FRUITA, CO 81521-3018
(970) 424-3184
Mailing address
340 S ASH ST, FRUITA, CO 81521-3018
(970) 424-3184
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
09/23/2016
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