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Individual

MR. MAHESH INDRAJITH VITHARANA PATHIRANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
7525 N CEDAR AVE, FRESNO, CA 93720-2614
(559) 581-2517
Mailing address
505 VILLA AVE APT 138, CLOVIS, CA 93612-0868
(559) 581-2517

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92401
CA

Other

Enumeration date
05/25/2023
Last updated
05/25/2023
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