Organization
BLANACED BODY THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIPPE COUDOUX HHP, CMT (PRESIDENT/MASSAGE THERAPIST)
(760) 216-4270
Entity
Organization
Contact information
Practice address
1991 VILLAGE PARK WAY, SUITE 206-A, ENCINITAS, CA 92024-1994
(760) 216-4270
Mailing address
1820 MELROSE DR, #331, SAN MARCOS, CA 92078-2116
(760) 216-4270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10215
CA
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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