Individual
ELIZABETH MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5321 N FRESNO ST STE 106C, FRESNO, CA 93710-6850
(559) 363-2133
Mailing address
PO BOX 792, FRIANT, CA 93626-0792
(559) 363-2133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
90703
CA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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