Individual
JEAN HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 COCHRANE CIR, BUILDING 2059, ATTN:MCXE-PMD-PHN-HA, FT CARSON, CO 80913-4603
(719) 524-0727
Mailing address
1650 COCHRANE CIR, BUILDING 2059, ATTN:MCXE-PMD-PHN-HA, FT CARSON, CO 80913-4603
(719) 524-0727
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
175234
CO
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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