Individual
NICOLE LORENE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 GARFIELD ST APT 311, DENVER, CO 80206-2717
(719) 490-9669
Mailing address
1325 GARFIELD ST APT 311, DENVER, CO 80206-2717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0021413
CO
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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