Individual
JUSTIN PAUL DONNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11990 GRANT ST STE 400, NORTHGLENN, CO 80233-1136
(720) 773-2464
Mailing address
10305 DOVER ST APT 10-1039, WESTMINSTER, CO 80021-3970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0021891
CO
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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