Individual
BONNIE EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 DEBORAH DR, LOVELAND, CO 80537-7087
(970) 462-8104
Mailing address
1004 DEBORAH DR, LOVELAND, CO 80537-7087
(970) 462-8104
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022746
CO
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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