Individual
MARISA CHAIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 5191, NEW YORK, NY 10185-5191
(877) 537-0329
Mailing address
PO BOX 5191, NEW YORK, NY 10185-5191
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15175
CA
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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