Individual
SELINA BORQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 30TH ST, SUITE 201F, BOULDER, CO 80301-1088
(303) 819-8224
Mailing address
1800 30TH ST, SUITE 201F, BOULDER, CO 80301-1088
(303) 819-8224
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0007193
CO
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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