Individual
THUY-QUYNH JENNIFER LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13001 E 17TH PL, AURORA, CO 80045-2570
(303) 724-6595
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME153124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112392100
—
FL
01
—
J6OFF
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/25/2017
Last updated
01/11/2022
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