Individual
VANESSA IVETTE COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2100 STATE HILL RD, WYOMISSING, PA 19610-1654
(484) 797-0773
Mailing address
908 S TEMPLE BLVD, TEMPLE, PA 19560-1953
(484) 797-0773
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG004307
PA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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