Individual
MARY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 399-8020
Mailing address
1979 S FLANDERS WAY UNIT C, AURORA, CO 80013-7729
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
225695
NM
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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