Individual
MRS. MIRABEL USONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E HARVARD AVE STE 305, DENVER, CO 80210-5076
(303) 338-4017
Mailing address
500 QUENTIN ST, AURORA, CO 80011-8317
(832) 461-3281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0994069-NP
CO
Other
Enumeration date
11/10/2018
Last updated
11/10/2018
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