Individual
PATRICIA KIRIAZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
8380 CENTER DR STE E, LA MESA, CA 91942-2952
(619) 466-6077
Mailing address
9226 LAKE VALLEY RD, EL CAJON, CA 92021-1976
(619) 375-7871
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78871
—
CA
01
—
87726
MEDICARE
WA
Enumeration date
08/18/2021
Last updated
08/18/2021
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