Individual
CALLI GROTEWIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6727 FLANDERS DR, SAN DIEGO, CA 92121
(858) 335-8024
Mailing address
6727 FLANDERS DR, SAN DIEGO, CA 92121
(858) 335-8024
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9332
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9332
CMT
CA
Enumeration date
04/22/2014
Last updated
04/22/2014
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