NPI 1013458579

Wisler Jacquecin

Practitioner Contractor Aurora, CO

Practice location

Address: 11059 E Bethany Dr, Aurora, CO 80014-2622
Phone: (303) 617-2300
Fax: (303) 617-2365

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1013458579
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2017
Record last updated: 16 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.