Justin Bennett Wiley
NPI #1558844472 in Wheat Ridge, Colorado
Provider Information
- NPI Number
- 1558844472
- Entity Type
- Individual
- Name
- Justin Bennett Wiley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 7, 2018
- Last Updated
- Sep 19, 2018
Practice Location
- Address
- 3113 TELLER ST
- City
- Wheat Ridge
- State
- Colorado
- ZIP Code
- 80033-8057
- Phone
- (303) 233-2808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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