Individual
BEATRIZ DA SILVEIRA PLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
39 MILLS PL, PASADENA, CA 91105-1909
(818) 486-9210
Mailing address
827 BONITA DR, S PASADENA, CA 91030-4316
(818) 486-9210
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86195
CA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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