Individual
MARY YOSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 N MAIN ST, SUITE B, LONGMONT, CO 80501-1984
(602) 380-3624
Mailing address
1930 N MAIN ST, SUITE B, LONGMONT, CO 80503-1984
(602) 380-3624
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5583
CO
Other
Enumeration date
01/18/2010
Last updated
05/07/2010
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