Individual
JESSICA BEATA QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 SUMMIT BLVD, BROOMFIELD, CO 80021-8219
(303) 466-7911
Mailing address
2626 S LAFAYETTE ST, DENVER, CO 80210-5929
(702) 856-6033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0023279
CO
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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