Individual
STEPHANY RAE LUELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 TAMARACK AVE # 2, CARLSBAD, CA 92008-4128
(808) 212-6218
Mailing address
PO BOX 4342, CARLSBAD, CA 92018-4342
(808) 212-6218
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
74367
CA
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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