Individual
CAMILA PAULA CASANOVA SIWIUK TARASIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
537 MARIPOSA AVE APT 2, MOUNTAIN VIEW, CA 94041-1728
(650) 283-6084
Mailing address
1630 S DELAWARE ST UNIT 5427, SAN MATEO, CA 94402-6623
(650) 283-6084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76286
CA
Other
Enumeration date
08/31/2020
Last updated
03/01/2021
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