Individual
JENNIFER SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 WADSWORTH CIR, LONGMONT, CO 80501-5756
(303) 522-6345
Mailing address
321 WADSWORTH CIR, LONGMONT, CO 80501-5756
(303) 522-6345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
116570
CO
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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