Individual
MICAELA TASHA CRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 N SPEER BLVD UNIT 117, DENVER, CO 80211-4215
(303) 945-0052
Mailing address
17489 E TEMPLE DR, AURORA, CO 80015-1905
(303) 945-0052
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0009079
CO
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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