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Individual

MR. GEORGE ANTHONY PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.M.T.

Contact information

Practice address
333 W HAMPDEN AVE, SUITE 420E, ENGLEWOOD, CO 80110-2330
(303) 931-2133
(303) 781-1022
Mailing address
333 W HAMPDEN AVE STE 420E, SUITE 204, ENGLEWOOD, CO 80110-2334
(303) 931-2133
(303) 781-1022

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4899
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4899
DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
10/16/2009
Last updated
07/26/2012
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