DMITRIY KOPTEV

LAKEWOOD, CO
NPI1437543071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: CO  1629286)
Enumeration Date2015-03-21
Last Update Date2015-03-21
Business Address
-- DMITRIY KOPTEV
421 ZANG ST
LAKEWOOD, CO 80228-1052
Phone number: 303-996-3844
Mailing Address
-- DMITRIY KOPTEV
421 ZANG ST
LAKEWOOD, CO 80228-1052
Phone number: