Individual
MISS ANGELA LAURITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
2825 MARINE ST, SUITE C, BOULDER, CO 80303-1027
(720) 308-2096
Mailing address
2825 MARINE ST, SUITE C, BOULDER, CO 80303-1027
(720) 308-2096
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0012211
CO
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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