Individual
MELISSA VALLIE UBALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5021 S ROME ST, AURORA, CO 80015-4712
(720) 233-5960
Mailing address
5021 S ROME ST, AURORA, CO 80015-4712
(720) 233-5960
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
CO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
CO
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
CO
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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