Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist |
NPI | 1073768735 |
---|---|
Provider Name | Janet Pearce Winchester |
First Address | Fort Collins, CO 80525-4196 |
Second Address | Longmont, CO 80501-2485 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2008 |
Last Update Date | 22/11/2008 |