Individual
JESSICA LLERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT.0023755
Contact information
Practice address
2405 WILLOW TREE GRV APT 204, COLORADO SPRINGS, CO 80910-7126
(754) 209-6094
Mailing address
2405 WILLOW TREE GRV APT 204, COLORADO SPRINGS, CO 80910-7126
(754) 209-6094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0023755
CO
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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