Individual
BAMBI LUJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMP
Contact information
Practice address
415 W 4TH ST STE D, PUEBLO, CO 81003-3200
(719) 406-0285
Mailing address
415 W 4TH ST STE D, PUEBLO, CO 81003-3200
(719) 406-0285
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0025404
CO
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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