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Individual

MISS LYDIA-CARLIE BLAIN TILUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
225 CABRILLO HWY S STE 204C, HALF MOON BAY, CA 94019-1738
(424) 240-3691
Mailing address
400 E HILLSDALE BLVD APT 208, SAN MATEO, CA 94403-2882
(909) 758-6248

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
41590
CA
374J00000X
Doula

Other

Enumeration date
10/24/2018
Last updated
07/07/2023
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