Individual
EDLIN JARA-MOLINAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4275
(970) 945-8503
(970) 945-0253
Mailing address
1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4275
(970) 945-8503
(970) 945-0253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004311
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.0004311
STATE LICENSE NUMBER
CO
Enumeration date
07/20/2015
Last updated
07/20/2015
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