Individual
AMMIE JAGGARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
9451 E WINDING HILL AVE, LONE TREE, CO 80124-8472
(832) 881-8856
Mailing address
9451 E. WINDING HILL AVE., LONE TREE, CO 80124
(832) 881-8856
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA0002225
CO
246ZS0410X
Surgical Technologist
SA00320
TX
Other
Enumeration date
12/16/2008
Last updated
03/17/2018
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