Individual
VICTORIA LASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 MAIN ST STE 103, IRVINE, CA 92614-6524
(949) 241-6833
Mailing address
25482 ELDERWOOD, LAKE FOREST, CA 92630-6411
(949) 241-6833
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26983
CA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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