Individual
JOHANNA R STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 S VINE ST, DENVER, CO 80210-5264
(720) 663-1603
Mailing address
1235 N LOGAN ST APT 206, DENVER, CO 80203-2464
(207) 274-9752
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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