Individual
MR. ERIC LEO MARGOLIS PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
700 CAREY RD APT 18, OCEANSIDE, CA 92058-2303
(760) 639-8465
Mailing address
700 CAREY RD APT 18, OCEANSIDE, CA 92058-2303
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
87573
CA
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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