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Individual

MICHAEL ANTHONY HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
5306 S BANNOCK ST STE 214, LITTLETON, CO 80120-1775
(303) 253-0652
Mailing address
4301 S UTICA ST, DENVER, CO 80236-3418
(720) 822-8642

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024295
CO

Other

Enumeration date
02/13/2024
Last updated
02/13/2024
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