Individual
MR. JEREMY KUBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5912 S CODY ST, SUITE 215, LITTLETON, CO 80123-9542
(303) 979-0342
Mailing address
10555 W JEWELL AVE, APT 12-308, LAKEWOOD, CO 80232-6237
(303) 513-7476
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0018153
CO
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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