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Individual

LATISHA JANAE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NMT

Contact information

Practice address
5145 PIONEER MESA DR, COLORADO SPRINGS, CO 80923-8752
(719) 922-9229
Mailing address
5145 PIONEER MESA DR, COLORADO SPRINGS, CO 80923-8752
(719) 922-9229

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0025369
CO

Other

Enumeration date
10/28/2022
Last updated
10/28/2022
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