Individual
JERRI YOLANDA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4204 ANDES ST, DENVER, CO 80249-7257
(303) 373-4331
Mailing address
4204 ANDES ST, DENVER, CO 80249-7257
(303) 373-4331
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44997
CO
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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