Individual
MARGARET ANN WIESEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
89 LOS VIENTOS DR, NEWBURY PARK, CA 91320-2843
(805) 300-0684
Mailing address
89 LOS VIENTOS DR, NEWBURY PARK, CA 91320-2843
(805) 300-0684
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22029
CA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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