Individual
PHYLLIS DENISE PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7875 CONVOY CT STE A5, SAN DIEGO, CA 92111-1223
(619) 850-9363
Mailing address
PO BOX 900923, SAN DIEGO, CA 92190-0923
(619) 850-9363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CA
Other
Enumeration date
06/13/2009
Last updated
06/16/2009
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