Individual
MANUEL JESUS CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
21330 MONETA AVE, CARSON, CA 90745-1952
(310) 500-5083
Mailing address
21330 MONETA AVE, CARSON, CA 90745-1952
(310) 500-5083
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76036
CA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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