Individual
KATY IENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRD
Contact information
Practice address
1419 RIVERSIDE AVE STE C, FORT COLLINS, CO 80524-4377
(970) 821-5728
Mailing address
1419 RIVERSIDE AVE STE C, FORT COLLINS, CO 80524-4377
(970) 821-5728
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
09/17/2024
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