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Individual

JEANNENE EMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(720) 321-0000
Mailing address
2433 S HOLLAND ST, LAKEWOOD, CO 80227-2278
(720) 412-0447

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0163945
CO

Other

Enumeration date
08/31/2022
Last updated
08/31/2022
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