Individual
FERNANDA MARCELINA BLANCO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2490 W 26TH AVE STE 10A, DENVER, CO 80211-5300
(303) 331-6744
Mailing address
10201 RIVERDALE RD LOT 176, THORNTON, CO 80229-2917
(720) 723-8365
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024128
CO
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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