Organization
STELLAR GENESIS PROFESSIONAL LLC
Active
Other names
STELLAR GENESIS PROFESSIONAL LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YUKO BLUE FNP (OWNER)
(303) 582-4657
Entity
Organization
Contact information
Practice address
2806 NORTH SPEEK BLVD, DENVER, CO 80211
(303) 582-4657
Mailing address
2012 S BRYANT ST, DENVER, CO 80219-5524
(303) 582-4657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
07/19/2024
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