Individual
MRS. JAN MICHELLE STENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11602 W 64TH AVE, ARVADA, CO 80004-4313
(303) 421-5237
(303) 421-0518
Mailing address
11602 W 64TH AVE, ARVADA, CO 80004-4313
(303) 421-5237
(303) 421-0518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14812
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14812
LICENSE NUMBER
CO
Enumeration date
11/09/2011
Last updated
11/09/2011
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