Individual
AILEEN MICHELLE SCOGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 E LINCOLN AVE APT 622, FORT COLLINS, CO 80524-4748
(949) 278-2479
Mailing address
1245 E LINCOLN AVE APT 622, FORT COLLINS, CO 80524-4748
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0018043
CO
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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