Individual
DEBORAH ANN BALTAZAR-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8555 AERO DR STE 107, SAN DIEGO, CA 92123-1744
(619) 542-0884
Mailing address
3145 DALE ST, SAN DIEGO, CA 92104-4509
(619) 519-9424
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75678
CA
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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