Individual
JENNIFER ANNE ODERAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 WARD RD, ARVADA, CO 80004-2464
(720) 354-8998
Mailing address
6655 WARD RD, ARVADA, CO 80004-2464
(720) 354-8998
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0018853
CO
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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