Organization
M PLUS M IS ZEN
Active
Other names
Athena Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANN MARTIN MASSAGE THERAPIST (OWNER/THERAPIST)
(562) 714-0202
Entity
Organization
Contact information
Practice address
28951 LOS ALISOS BLVD, MISSION VIEJO, CA 92692-5934
(949) 600-6272
Mailing address
28951 LOS ALISOS BLVD, MISSION VIEJO, CA 92692-5934
(949) 600-6272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
35482
CA
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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