Individual
MARTHA AURORA LUCERO VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73600 ALESSANDRO DRIVE, SUITE 123, PALM DESERT, CA 92260
(760) 979-8817
Mailing address
74800 SHERYL AVE, APT 92, PALM DESERT, CA 92260
(760) 979-8817
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79753
CA
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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