Individual
MRS. EE BEAN HIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 E SPAULDING AVE # W113, PUEBLO, CO 81007-5416
(719) 470-1047
Mailing address
955 S CAYUGA DR, PUEBLO WEST, CO 81007-1919
(719) 470-1047
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0020422
CO
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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