Individual
JEAN MAURICE MBASI BELEKWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 S SALIDA WAY, AURORA, CO 80013-4186
(720) 628-0309
Mailing address
2450 S SALIDA WAY, AURORA, CO 80013-4186
(720) 628-0309
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03-099-0670
—
CO
Enumeration date
12/01/2020
Last updated
12/01/2020
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