Individual
PAQUA K'UN RENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
120 ELK AVE., CRESTED BUTTE, CO 81224
(970) 251-5051
Mailing address
PO BOX 7081, GUNNISON, CO 81230-7081
(970) 251-5051
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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