RYAN BUSALACCHI

LAKEWOOD, CO
NPI1891167474
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: CO  0204323)
Enumeration Date2015-10-22
Last Update Date2015-10-22
Business Address
-- RYAN BUSALACCHI
421 ZANG ST
LAKEWOOD, CO 80228-1052
Phone number: 303-996-3844
Mailing Address
-- RYAN BUSALACCHI
421 ZANG ST
LAKEWOOD, CO 80228-1052
Phone number: 928-853-2836
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