Individual
LEANNA MOORE-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.A., QMAP
Contact information
Practice address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6568
Mailing address
PO BOX 350943, WESTMINSTER, CO 80035-0943
(720) 436-9309
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
700354
CO
Other
Enumeration date
11/18/2012
Last updated
11/18/2012
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