Individual
MR. LUIS ERNESTO IRENE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10365 JULIAN CT, WESTMINSTER, CO 80031-6706
(720) 350-3040
Mailing address
10365 JULIAN CT, WESTMINSTER, CO 80031-6706
(720) 350-3040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-555
CO
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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