Individual
MRS. STACEY ANN RENOUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(720) 406-3604
Mailing address
1455 DIXON AVE STE 300, LAFAYETTE, CO 80026-8880
(720) 406-3604
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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