Individual
RAE DELACRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 W 6TH ST, PUEBLO, CO 81003-3119
(719) 543-6400
Mailing address
117 W 6TH ST, PUEBLO, CO 81003-3119
(719) 543-6400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0014812
CO
Other
Enumeration date
11/29/2013
Last updated
11/29/2013
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