Ruth A Prochaska-Jackman

NPI #1275734287 in Lafayette, Colorado

Provider Information

NPI Number: 1275734287
Entity Type: Individual
Name: Ruth A Prochaska-Jackman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: May 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 280 EXEMPLA CIR
City: Lafayette
State: Colorado
ZIP Code: 80026-3370
Phone: (720) 536-6966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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