Individual
MIJA VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA, CMT
Contact information
Practice address
5252 BALBOA AVE STE 701, SAN DIEGO, CA 92117-6930
(858) 522-9277
Mailing address
1440 LINCOLN AVE APT 28, SAN DIEGO, CA 92103-2629
(858) 522-9277
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21510
CA
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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