Individual
JAMIE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 743-5855
Mailing address
18945 W 59TH PL, GOLDEN, CO 80403-1073
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13778
CO
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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