Individual
JENNIFER A BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6091 S QUEBEC ST, SUITE 200, CENTENNIAL, CO 80111-4521
(303) 504-9945
Mailing address
2776 MOORHEAD AVE, #104, BOULDER, CO 80305-3373
(219) 221-0393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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