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Individual

SARA E JARDINICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3550 LUTHERAN PKWY, SUITE G20, WHEAT RIDGE, CO 80033-6017
(303) 403-3670
(303) 423-9293
Mailing address
3550 LUTHERAN PKWY, SUITE G20, WHEAT RIDGE, CO 80033-6017
(303) 403-3670
(303) 423-9293

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
829
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18927777
CO
01
P007748496
MEDICARE RAILROAD
Enumeration date
07/12/2006
Last updated
10/27/2010
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