Individual
MATTHEW MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1945 PIPER ST, SUPERIOR, CO 80027
(415) 416-5237
Mailing address
1945 PIPER ST, SUPERIOR, CO 80027-4446
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0020307
CO
Other
Enumeration date
02/08/2018
Last updated
08/02/2018
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