Individual
VICKY L JENIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 743-5855
Mailing address
13042 JERSEY ST, THORNTON, CO 80602-9100
(303) 469-9342
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
80465
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011728
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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