Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CHIR009680 | GA |
Y | 111N00000X | Chiropractor | CHR0007550 | CO |
NPI | 1003354846 |
---|---|
Provider Name | Yahdi D Cotto-Jorge |
First Address | Aurora, CO 80012-1431 |
Second Address | Aurora, CO 80012-1431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2017 |
Last Update Date | 02/02/2017 |