Individual
JENNA BRIANNE CAPPELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1551 PROFESSIONAL LN, STE. 200, LONGMONT, CO 80501-6972
(303) 772-1600
(303) 772-9317
Mailing address
1551 PROFESSIONAL LN, STE. 200, LONGMONT, CO 80501-6972
(303) 772-1600
(303) 772-9317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2861
CO
Other
Enumeration date
01/21/2010
Last updated
03/31/2011
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