Individual
ROSE FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9285 HEPBURN ST, HIGHLANDS RANCH, CO 80129-2262
(303) 636-3321
Mailing address
9795 FOXHILL CIR, HIGHLANDS RANCH, CO 80129-4304
(303) 470-3473
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0002468
CO
Other
Enumeration date
01/09/2017
Last updated
01/10/2017
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