| The Chocolate Peach Bonding Co | |
|
2520 W Pinyon Ave Grand Jct CO 81505-6913 | |
| (970) 424-2577 | |
| Not Available |
| Full Name | The Chocolate Peach Bonding Co |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2520 W Pinyon Ave, Grand Jct, Colorado |
| Authorized Official Name and Position | Jimmy L Bond (OWNER) |
| Authorized Official Contact | 9704242577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Chocolate Peach Bonding Co 2520 W Pinyon Ave Grand Jct CO 81505-6913 Ph: (970) 424-2577 | The Chocolate Peach Bonding Co 2520 W Pinyon Ave Grand Jct CO 81505-6913 Ph: (970) 424-2577 |
| NPI Number | 1366195380 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366195380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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