Individual
SOFIA EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5030 CODORNIZ WAY UNIT 31, OCEANSIDE, CA 92057-4543
(760) 685-7745
Mailing address
5030 CODORNIZ WAY UNIT 31, OCEANSIDE, CA 92057-4543
(760) 685-7745
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
80751
CA
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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