Individual
MRS. AMANDA MOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3023 BUNKER HILL ST, 201, SAN DIEGO, CA 92109-5706
(619) 786-2611
Mailing address
3023 BUNKER HILL ST, 201, SAN DIEGO, CA 92109-5706
(619) 786-2611
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15788
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15788
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
10/28/2013
Last updated
10/28/2013
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