Individual
JENNIFER LYNN IVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
5314 CORBETT DR, FORT COLLINS, CO 80528-3092
(970) 420-8999
Mailing address
5314 CORBETT DR, FORT COLLINS, CO 80528-3092
(970) 420-8999
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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