Individual
INDRA RAMBARRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7332 COLONIAL DR, FOUNTAIN, CO 80817-1303
(832) 597-2644
Mailing address
7332 COLONIAL DR, FOUNTAIN, CO 80817-1303
(832) 597-2644
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251C00000X
—
CO
Enumeration date
05/25/2017
Last updated
07/21/2022
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