| NPI | 1659821171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA FUENTES FUENTES FELTY Owner 720-985-5362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0990735) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |