Individual
MELINDA JACQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 E 29TH ST STE 101, LOVELAND, CO 80538-2721
(970) 494-4200
(970) 667-0488
Mailing address
4856 INNOVATION DR STE B, FORT COLLINS, CO 80525-5540
(970) 494-4200
(970) 613-4475
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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