Individual
NICKOLAS BURRESCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7024 AIRWAY AVE STE F, YUCCA VALLEY, CA 92284-3069
(760) 821-7671
Mailing address
2266 YELLOW KNIFE RD, YUCCA VALLEY, CA 92284-4532
(760) 821-7671
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
80251
CA
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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