Individual
CRYSTAL LOPEZ-VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 W TAYLOR AVE, LA SALLE, CO 80645-3116
(970) 673-5673
Mailing address
212 W TAYLOR AVE, LA SALLE, CO 80645-3116
(970) 673-5673
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0009847
CO
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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