Organization
CHILDREN'S URINARY AND BOWEL SOLUTIONS CLINIC AND CONSULTING, LLC
Active
Other names
CUBS Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER N MACK CPNP (OWNER)
(720) 955-4465
Entity
Organization
Contact information
Practice address
7501 VILLAGE SQUARE DR STE 207, CASTLE PINES, CO 80108-3708
(720) 955-4465
Mailing address
10799 W ALAMEDA AVE. PO BOX 260758, LAKEWOOD, CO 80226
(720) 955-4465
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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