Individual
MS. SEPHORA CHANTAL JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9299 S BROADWAY, #100, HIGHLANDS RANCH, CO 80129-5603
(303) 683-3377
Mailing address
9299 S BROADWAY, #100, HIGHLANDS RANCH, CO 80129-5603
(303) 683-3377
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11083
CO
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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