DIERDRE MANGAN

LAKEWOOD, CO
NPI1952027575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: CO  0011644)
Additional Taxonomies171100000X Acupuncturist
(Licence: CO  2667)
Enumeration Date2022-10-14
Last Update Date2022-10-14
Business Address
DIERDRE MANGAN LAC
2201 KIPLING ST
LAKEWOOD, CO 80215-1580
Phone number: 720-998-4108
Mailing Address
DIERDRE MANGAN LAC
2595 NELSON ST
LAKEWOOD, CO 80215-1334
Phone number: