Individual
KATHERINE E DE CAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3933 ELSA ST, LAKEWOOD, CA 90712-3872
(203) 219-7686
Mailing address
3933 ELSA ST, LAKEWOOD, CA 90712-3872
(203) 219-7686
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
91245
CA
Other
Enumeration date
02/15/2024
Last updated
04/01/2024
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