Provider Demographics
NPI:1457550964
Name:GALAN, JENNIFER ELIZABETH
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ELIZABETH
Last Name:GALAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14333 E 1ST DR
Mailing Address - Street 2:204
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-3846
Mailing Address - Country:US
Mailing Address - Phone:303-856-3186
Mailing Address - Fax:
Practice Address - Street 1:14333 E 1ST DR
Practice Address - Street 2:204
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-3846
Practice Address - Country:US
Practice Address - Phone:303-856-3186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist