Individual
CRYSTAL JANCOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
7114 W JEFFERSON AVE STE 112, LAKEWOOD, CO 80235-2309
(720) 242-9756
Mailing address
7114 W JEFFERSON AVE STE 112, LAKEWOOD, CO 80235-2309
(720) 242-9756
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU0002104
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
501C3
WE ARE AN OUT OF NETWORK/OUT OF POCKET LOWCOST 501C3 CLINIC
CO
Enumeration date
10/16/2020
Last updated
10/16/2020
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