Individual
MR. DOMINIC ALLEN SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
1800 30TH ST STE 219, BOULDER, CO 80301-1026
(303) 444-1171
Mailing address
2126 27TH ST, GREELEY, CO 80631-8222
(970) 888-4757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022804
CO
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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