Individual
RENATA KUBINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL MASSAGE PRAC
Contact information
Practice address
97 MAIN ST UNIT W-202, EDWARDS, CO 81632-8151
(805) 710-1127
Mailing address
97 MAIN ST UNIT W-202, EDWARDS, CO 81632-8151
(805) 710-1127
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0025314
CO
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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