Individual
MARIAH EJELLE LEMASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 BROKEN ARROW DR UNIT A, GRAND JUNCTION, CO 81504-7646
(970) 773-5798
Mailing address
415 BROKEN ARROW DR UNIT A, GRAND JUNCTION, CO 81504-7646
(970) 200-5707
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0023839
CO
227800000X
Certified Respiratory Therapist
MT.0023839
CO
Other
Enumeration date
12/25/2020
Last updated
12/25/2020
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