Individual
MR. NICHOLAS ALEXANDER DALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
514 28 1/4 RD UNIT 1, GRAND JUNCTION, CO 81501-4961
(360) 952-0391
Mailing address
3268 E RD TRLR 1, CLIFTON, CO 81520-7905
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0025642
CO
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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