Individual
ALAN FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 W 6TH ST, PUEBLO, CO 81003-3119
(719) 251-5189
(719) 251-5189
Mailing address
117 W 6TH ST, PUEBLO, CO 81003-3119
(719) 251-5189
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019714
CO
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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