Individual provider · NPI-1

Leonardo Garcia Fua Jr.

Home Health Aide · Denver, CO

NPI number1538642129
StatusActive
Last updated in NPPESSep 11, 2018

Details

NPI
1538642129
Entity type
Individual (NPI-1)
Name
Leonardo Garcia Fua Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 11, 2018
Last updated
Sep 11, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

2013 Grove St
Denver, CO 80211-4645

Phone 720-775-0706

Mailing address

2013 Grove St
Denver, CO 80211-4645

Phone 720-775-0706

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