Individual
STEPHANIE BRACAMONTES CANEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5880 FAIR ISLE DR APT 70, RIVERSIDE, CA 92507-8454
(760) 235-0014
Mailing address
5880 FAIR ISLE DR APT 70, RIVERSIDE, CA 92507-8454
(760) 235-0014
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
87430
CA
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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