Individual
MARIA PERESKOKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11343 GRAY ST, WESTMINSTER, CO 80020-6824
(720) 891-8192
Mailing address
11343 GRAY ST, WESTMINSTER, CO 80020-6824
(720) 891-8192
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0011188
CO
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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