Individual
MRS. SHANTELLE ANGELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2646 PATTERSON RD, SUITE A, GRAND JUNCTION, CO 81506-1941
(970) 248-9833
(970) 248-9835
Mailing address
2646 PATTERSON RD, SUITE A, GRAND JUNCTION, CO 81506-1941
(970) 248-9833
(970) 248-9835
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0001984
CO
Other
Enumeration date
10/20/2016
Last updated
12/01/2016
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