Individual
TELAL ABDELLATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7474 E ARKANSAS AVE APT 2408, DENVER, CO 80231-2544
(720) 877-5881
Mailing address
7474 E ARKANSAS AVE APT 2408, DENVER, CO 80231-2544
(720) 877-5881
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
LL02820
CO
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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