Individual
MARISELA DIEGO DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3451 S CHAMBERS RD, AURORA, CO 80014-5073
(303) 680-6121
Mailing address
3451 S CHAMBERS RD, AURORA, CO 80014-5073
(303) 680-6121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0019864
CO
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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