| NPI | 1023852720 |
|---|---|
| Doing Business As | STELLAR GENESIS PROFESSIONAL LLC |
| Entity Type | Organization |
| Authorized Contact | YUKO BLUE Owner 303-582-4657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-07-19 |