Individual
MRS. JOYCE DONNA THEOBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE TECHNICIAN
Contact information
Practice address
26900 NEWPORT RD STE 110, MENIFEE, CA 92584-9224
(951) 672-8060
(951) 672-7490
Mailing address
26900 NEWPORT RD STE 110, MENIFEE, CA 92584-9224
(951) 672-8060
(951) 672-7490
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R-100110017
CA
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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