Individual
JENNA LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2951 SHADY HOLW E, BOULDER, CO 80304-2974
(720) 690-0262
Mailing address
2951 SHADY HOLW E, BOULDER, CO 80304-2974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173627
CO
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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