Individual
STEPHANE COSBY RAINSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3655 E 104TH AVE UNIT A, THORNTON, CO 80233-6136
(303) 254-8500
(303) 453-4994
Mailing address
1117 CENTENNIAL RD, FORT COLLINS, CO 80525-2353
(760) 567-8793
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0007436
CO
Other
Enumeration date
07/11/2022
Last updated
01/07/2025
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