Individual
TINA R DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1610 E CORONADO AVE, CORTEZ, CO 81321-3004
(970) 739-6124
Mailing address
PO BOX 1416, CORTEZ, CO 81321-1416
(970) 739-6124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7053
CO
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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