Organization
PROFESSIONAL IMMUNIZATIONS & MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE MARIE MASTERSON RN (PRESIDENT)
(303) 741-3955
Entity
Organization
Contact information
Practice address
5933 E GEDDES CIR, CENTENNIAL, CO 80112-1516
(303) 741-3955
(720) 493-8437
Mailing address
5933 E GEDDES CIR, CENTENNIAL, CO 80112-1516
(303) 741-3955
(720) 493-8437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59186
CO
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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