Individual
FIDENCIO JAIMES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
442 1/2 DORIS RD, GRAND JUNCTION, CO 81504-8628
(970) 902-3451
Mailing address
442 1/2 DORIS RD, GRAND JUNCTION, CO 81504-8628
(970) 902-3451
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0023323
CO
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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