Individual
MS. LEILANI NAOMI JUSTINIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLMT
Contact information
Practice address
5195 SHOSHONE ST, DENVER, CO 80221-1325
(303) 330-7141
Mailing address
5195 SHOSHONE ST, DENVER, CO 80221-1325
(303) 330-7141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0001781
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTHER
OTHER
CO
Enumeration date
01/19/2023
Last updated
01/19/2023
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