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Individual

MS. MARYAM MANSOORYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
9025 BALBOA AVE STE 130, SAN DIEGO, CA 92123-1520
(858) 505-1100
Mailing address
1569 SOUVENIR DR, EL CAJON, CA 92021-3554
(619) 919-5574

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92083
CA

Other

Enumeration date
12/12/2022
Last updated
12/12/2022
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