AMELIA SITA RAVISHANKARA

BOULDER, CO
NPI1154658664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2009-11-05
Last Update Date2009-11-05
Business Address
AMELIA SITA RAVISHANKARA
580 MOHAWK DRIVE BASELINE MEDICAL OFFICE
BOULDER, CO 80302
Phone number: 303-614-1400
Mailing Address
AMELIA SITA RAVISHANKARA
7931 W 55TH AVE APT 202
ARVADA, CO 80002-3704
Phone number: 720-352-0892
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