Individual
DENISE JEAN ZAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 S LAUREL AVE APT H, UPLAND, CA 91786-6568
(909) 771-7057
Mailing address
188 E. SECOND STREET, UPLAND, CA 91786
(909) 771-7057
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13571
CERTIFIED MASSAGE THERAPIST
CA
Enumeration date
06/29/2011
Last updated
06/29/2011
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