Individual
MRS. STACY R JHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
335 DETROIT ST, 101, DENVER, CO 80206-4371
(720) 272-3726
Mailing address
335 DETROIT ST, 101, DENVER, CO 80206-4371
(303) 398-6142
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
38251
CO
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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