Individual
MARIA DE LA LUZ BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1825 MAIN ST STE C, COLORADO SPRINGS, CO 80911-1100
(719) 390-5404
Mailing address
106 E HOMER DR, PUEBLO WEST, CO 81007-3053
(719) 419-0890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0021665
CO
Other
Enumeration date
07/13/2022
Last updated
07/25/2022
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