Individual
SOL CONSUELO CANCEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5120 W CYCLAMEN WAY, WEST JORDAN, UT 84081-3867
(801) 706-9518
Mailing address
5120 W CYCLAMEN WAY, WEST JORDAN, UT 84081-3867
(801) 706-9518
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11631966-4701
UT
225700000X
Massage Therapist
33.023572
OH
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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