Individual
JESUS SICAIROS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17020 E 16TH AVE, AURORA, CO 80011-4902
(303) 847-2271
Mailing address
17020 E 16TH AVE, AURORA, CO 80011-4902
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001896
CO
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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