Individual
GEORGIANA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11890 W 64TH AVE, ARVADA, CO 80004-4324
(410) 212-6151
Mailing address
11890 W 64TH AVE, ARVADA, CO 80004-4324
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0016987
CO
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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