Individual
JAMI LARUE MOLINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19465 MARIPOSA AVE, RIVERSIDE, CA 92508-9629
(951) 322-9117
Mailing address
19465 MARIPOSA AVE, RIVERSIDE, CA 92508-9629
(951) 322-9117
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88745
CA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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