Individual
MARCOS LIONEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 30TH ST STE 219, BOULDER, CO 80301-1026
(303) 444-1171
Mailing address
3673 S LEE CT, LAKEWOOD, CO 80235-1122
(214) 870-4170
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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