| NPI | 1487026951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN KAY GLENN Owner 720-820-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR47517) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| 208600000X Surgery | |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2025-02-01 |