Individual
JESSICA WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
660 GOLDEN RIDGE RD STE 250, GOLDEN, CO 80401-9541
(303) 233-1223
Mailing address
660 GOLDEN RIDGE RD STE 250, GOLDEN, CO 80401-9541
(303) 233-1223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
023725
NY
363A00000X
Physician Assistant
Primary
6993
CO
Other
Enumeration date
07/25/2019
Last updated
04/13/2022
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