Organization
IYE COLLABORATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEUNETTE JOSEPH-OMWANGHE (OWNER)
(720) 784-5157
Entity
Organization
Contact information
Practice address
720 S COLORADO BLVD, GLENDALE, CO 80246-1904
(720) 784-5157
Mailing address
720 S COLORADO BLVD, GLENDALE, CO 80246-1904
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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