Individual
PETER JOHN PASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, HHP, MMP
Contact information
Practice address
5714 LONETREE BLVD, ROCKLIN, CA 95765-3734
(916) 259-2510
Mailing address
5714 LONETREE BLVD, ROCKLIN, CA 95765-3734
(916) 259-2510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26098
CA
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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