Individual
ELLIE LAUREN MANRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
19171 MAGNOLIA ST STE 15, HUNTINGTON BEACH, CA 92646-2244
(949) 933-3131
Mailing address
19171 MAGNOLIA ST STE 15, HUNTINGTON BEACH, CA 92646-2244
(949) 933-3131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75484
CA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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