Individual
STACEY KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2217 CHAMPA ST, DENVER, CO 80205-2531
(720) 398-9666
Mailing address
2217 CHAMPA ST, DENVER, CO 80205-2531
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1656519
CO
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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