Individual
FAVIOLA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 AVENIDA DEL PONIENTE APT 2, SAN CLEMENTE, CA 92672-6453
(949) 584-4571
Mailing address
116 AVENIDA DEL PONIENTE APT 2, SAN CLEMENTE, CA 92672-6453
(949) 584-4571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
57055
CA
Other
Enumeration date
07/02/2022
Last updated
07/02/2022
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