Individual
JESSICA KINYICKY-ARECHEDERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 JUNIPER ST, LONGMONT, CO 80501-2550
(303) 618-3339
Mailing address
1503 JUNIPER ST, LONGMONT, CO 80501-2550
(303) 618-3339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1631954
CO
Other
Enumeration date
10/04/2015
Last updated
10/04/2015
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