Individual
MRS. JENNIFER HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
421 ZANG ST, LAKEWOOD, CO 80228-1052
(303) 996-3899
Mailing address
9822 WALLACE CT, HIGHLANDS RANCH, CO 80126-8603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0122313
CO
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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