Individual
LIZETH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4635 W 20TH STREET RD, GREELEY, CO 80634-3246
(970) 576-4256
Mailing address
4635 W 20TH STREET RD, GREELEY, CO 80634-3246
(970) 576-4256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0009440
CO
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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