Individual
DINA CARABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
660 GOLDEN RIDGE RD, 130, GOLDEN, CO 80401-9541
(720) 497-6616
Mailing address
1100 S WACO ST, H, AURORA, CO 80017-4378
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0015339
CO
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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