Individual
JENNY MYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13701 E MISSISSIPPI AVE STE 200, AURORA, CO 80012-3697
(303) 398-6340
Mailing address
13701 E MISSISSIPPI AVE STE 200, AURORA, CO 80012-3697
(303) 398-6340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A151825
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
11/05/2018
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