Individual
MISS JOELLEN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPY
Contact information
Practice address
441 UNIVERSITY ST, TRINIDAD, CO 81082-2542
(719) 680-8031
Mailing address
441 UNIVERSITY ST, TRINIDAD, CO 81082-2542
(719) 680-8031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8294
CO
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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