Individual
MARGUERITE GRACE CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 MARATHON DR, CAMPBELL, CA 95008-0918
(408) 466-9701
Mailing address
2971 MAGLIOCCO DR APT 4, SAN JOSE, CA 95128-3070
(408) 466-9701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13733
CA
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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