Individual
RENEE YVONNE FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29016 LOCKHAVEN RD, MENIFEE, CA 92584-7802
(951) 551-1907
Mailing address
29016 LOCKHAVEN RD, MENIFEE, CA 92584-7802
(951) 551-1907
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78724
CA
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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