Individual
JESSICA LEE WEGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 HUMBOLDT ST, DENVER, CO 80218-1614
(303) 504-1650
Mailing address
495 W FREMONT DR, LITTLETON, CO 80120-4246
(720) 563-1622
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/06/2009
Last updated
07/24/2010
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