Provider Demographics
NPI:1770345688
Name:TOKO, SEPHORA L (CNA)
Entity type:Individual
Prefix:
First Name:SEPHORA
Middle Name:L
Last Name:TOKO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19470 E 57TH AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80019-2916
Mailing Address - Country:US
Mailing Address - Phone:303-994-5987
Mailing Address - Fax:
Practice Address - Street 1:19470 E 57TH AVE APT 204
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80019-2916
Practice Address - Country:US
Practice Address - Phone:303-994-5987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONA.00781804376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide