JACQUE WALLIS

FORT COLLINS, CO
NPI1114546413
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CO  88881)
Enumeration Date2020-04-16
Last Update Date2020-04-16
Business Address
JACQUE WALLIS RN
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524-3218
Phone number: 970-494-4200
Mailing Address
JACQUE WALLIS RN
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525-5540
Phone number:
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