Individual
MARY SUNDBLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 CHERRYWOOD DR, LONGMONT, CO 80504-3072
(801) 631-0992
Mailing address
525 CHERRYWOOD DR, LONGMONT, CO 80504-3072
(801) 631-0992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0020538
CO
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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