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Individual

ALMA LILIA BASTIDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6249 N FUNDY ST, AURORA, CO 80019-2125
(720) 705-3178
Mailing address
6249 N FUNDY ST, AURORA, CO 80019-2125
(720) 705-3178

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
071130758
CO
Enumeration date
08/23/2022
Last updated
09/21/2022
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