Individual
JEANETTE SUE MCWILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1307 FORTINO BLVD STE A, PUEBLO, CO 81008-2377
(719) 242-1371
Mailing address
1307 FORTINO BLVD STE A, PUEBLO, CO 81008-2377
(719) 242-1371
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0008371
CO
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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