Individual
BRENDA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3527 W 12TH ST, GREELEY, CO 80634-2564
(970) 714-4220
Mailing address
5551 29TH ST UNIT 114, GREELEY, CO 80634-8313
(970) 714-4220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022076
CO
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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