Jla Senior Footcare Co LLC

NPI #1124335815 in Loveland, Colorado

Provider Information

NPI Number: 1124335815
Entity Type: Organization
Organization Name: Jla Senior Footcare Co LLC
Primary Specialty: Podiatrist - Foot Surgery
Enumeration Date: Sep 2, 2010
Last Updated: Sep 2, 2010

Practice Location

Address: 2101 S GARFIELD AVE
City: Loveland
State: Colorado
ZIP Code: 80537-7377
Phone: (330) 702-0978

Authorized Official

Name: ANTHONY INNOCENZI
Title: OWNER
Phone: (330) 702-0978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X	Primary

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