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Individual

VICTORIA SERNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T

Contact information

Practice address
820 CASTLE VALLEY BLVD STE 210, NEW CASTLE, CO 81647-9453
(970) 989-8702
(970) 984-3198
Mailing address
5033 COUNTY ROAD 335, TRLR 26, NEW CASTLE, CO 81647-9663
(970) 989-8702
(970) 984-3198

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT.008324
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT.0008324
MASSAGE THERAPIST LICENSE
CO
Enumeration date
01/21/2016
Last updated
01/21/2016
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