Klarisana Physician Services Pllc

NPI #1306503446 in Longmont, Colorado

Provider Information

NPI Number: 1306503446
Entity Type: Organization
Organization Name: Klarisana Physician Services Pllc
Primary Specialty: General Practice
Enumeration Date: Nov 23, 2021
Last Updated: Nov 23, 2021

Practice Location

Address: 916 S MAIN ST UNIT 208
City: Longmont
State: Colorado
ZIP Code: 80501-6617
Phone: (210) 556-1430

Authorized Official

Name: MRS. ALYSSA SOTO
Title: ADMINISTRATIVE DIRECTOR
Phone: (210) 556-1430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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