Individual
OXANA OGIWARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1695 S SAN JACINTO AVE STE J, SAN JACINTO, CA 92583-5103
(760) 825-8182
Mailing address
1774 PRAIRIE GLEN PL, SAN JACINTO, CA 92582-2222
(818) 877-0812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75673
LICENSED MASSAGE THERAPIST
CA
Enumeration date
05/14/2018
Last updated
03/28/2024
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