Individual
SONIA S LUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1184 BROADWAY AVE, ATWATER, CA 95301-4327
(209) 285-7191
Mailing address
257 3RD AVE, GUSTINE, CA 95322-1207
(209) 947-8399
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75528
CA
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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