Provider Demographics
NPI:1346460052
Name:ONASSIS, ALMA MELISA
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:MELISA
Last Name:ONASSIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 WADSWORTH CT
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-6026
Mailing Address - Country:US
Mailing Address - Phone:720-276-1879
Mailing Address - Fax:
Practice Address - Street 1:1036 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-6102
Practice Address - Country:US
Practice Address - Phone:303-443-6154
Practice Address - Fax:303-442-0949
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist