Organization
MADE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE DAVIS (OWNER)
(281) 324-5660
Entity
Organization
Contact information
Practice address
9758 LAREDO ST UNIT 38C, COMMERCE CITY, CO 80022-9827
(281) 324-5660
Mailing address
9758 LAREDO ST UNIT 38C, COMMERCE CITY, CO 80022-9827
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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