Individual
JACQUELINE RENEE TRAUTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4700 BOARDWALK DR, FORT COLLINS, CO 80525-3729
(970) 204-7817
(970) 204-7819
Mailing address
4700 BOARDWALK DR, FORT COLLINS, CO 80525-3729
(970) 204-7817
(970) 204-7819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17527
CO
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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