Individual
AMANDA NICOLE FIALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
932 CIMARRON LN, CORONA, CA 92879-8233
(951) 961-1237
Mailing address
932 CIMARRON LN, CORONA, CA 92879-8233
(951) 961-1237
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
97333
CA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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