Individual
LEA MARISA GAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT, HHP
Contact information
Practice address
1130 ADOBE NORTE AVE, FALLBROOK, CA 92028-4201
(760) 685-5258
Mailing address
1130 ADOBE NORTE AVE, FALLBROOK, CA 92028-4201
(760) 685-5258
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
94422
CA
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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