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Individual

LISA VASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4155 E JEWELL AVE STE 225, DENVER, CO 80222-4506
(720) 434-6016
Mailing address
18503 E HARVARD DR, AURORA, CO 80013-6423
(303) 369-6058

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0016691
CO

Other

Enumeration date
06/21/2019
Last updated
11/27/2023
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