Individual
BRIAN EDWARD DU FRESNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1114 MARTIN RD, LONGMONT, CO 80504-1243
(720) 289-5248
Mailing address
1114 MARTIN RD, LONGMONT, CO 80504-1243
(720) 289-5248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0020730
CO
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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