Individual
FAFA MOKRANE-BOUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1360 S POTOMAC ST, AURORA, CO 80012-4505
(303) 337-5575
(303) 745-6264
Mailing address
1360 S POTOMAC ST, AURORA, CO 80012-4505
(303) 337-5575
(303) 745-6264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1519
CO
Other
Enumeration date
05/21/2007
Last updated
07/21/2022
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