Individual
SUZANNE L WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2071 S CARR ST, LAKEWOOD, CO 80227-2465
(303) 956-2961
Mailing address
2071 S CARR ST, LAKEWOOD, CO 80227-2465
(303) 956-2961
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2540
CO
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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