Individual
MERENDA RENAE ROMINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
26 DURANGO CT., PAGOSA SPRINGS, CO 81147
(970) 317-5760
Mailing address
P.O. BOX 3567, PAGOSA SPRINGS, CO 81147
(970) 317-5760
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0012054
CO
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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