Individual
JENNIFER NICOLE PEARSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4145 FALL RIVER RD, IDAHO SPRINGS, CO 80452-9730
(806) 437-3022
Mailing address
PO BOX 1695, IDAHO SPRINGS, CO 80452-1695
(806) 437-3022
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
CO
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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