Individual
JENNIFER LEE VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220
(303) 504-7700
Mailing address
11100 E DARTMOUTH AVE APT 14, DENVER, CO 80014-4839
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/09/2020
Last updated
04/27/2023
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