Individual
MS. JOANNE L KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCMT
Contact information
Practice address
625 CHERRY ST, DEL NORTE, CO 81132-2276
(719) 580-6158
Mailing address
625 CHERRY ST, DEL NORTE, CO 81132-2276
(719) 580-6158
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT-2819
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT2819
STATE REGISTRATION NUMBER
CO
Enumeration date
06/03/2010
Last updated
06/03/2010
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