Individual
JAEL CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMI
Contact information
Practice address
5505 VALMONT RD LOT 11, BOULDER, CO 80301-2926
(303) 204-2671
Mailing address
5505 VALMONT RD LOT 11, BOULDER, CO 80301-2926
(720) 336-0122
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
103595
CO
Other
Enumeration date
11/30/2024
Last updated
11/30/2024
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