| NPI | 1013384866 |
|---|---|
| Former Legal Business Name | KLARISANA PLLC |
| Entity Type | Organization |
| Authorized Contact | CARL JOHN BONNETT Managing Member 303-945-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX P8449) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2022-09-09 |