Organization
PAIN SOLUTIONS MEDICAL MASSAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANTE LUCAS LA MADRID (CEO)
(909) 347-0330
Entity
Organization
Contact information
Practice address
823 TRI CITY CTR, REDLANDS, CA 92374-2859
(909) 347-0330
Mailing address
823 TRI CITY CTR, REDLANDS, CA 92374-2859
(909) 347-0330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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