Most Relevant Information
Provider Data
| NPI Number: | 1003559980 |
| Provider Name: | LAVASHA BONDAE B.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/18/2022 |
| Last Updated: | 04/18/2022 |
Provider Practice Location
700 POTOMAC ST
AURORA
CO
800116844
Practice Location Phone/Fax
| Phone: | 3033603650 |
| Fax: | 8559003378 |
Provider Mailing Location
2355 S LANSING ST
AURORA
CO
800141725
Provider Mailing Phone/Fax
| Phone: | 7209511797 |
| Fax: |