Individual
AMY BEAUBIER TILLOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
452 PLAZA ESTIVAL, SAN CLEMENTE, CA 92672-3539
(949) 573-7211
Mailing address
452 PLAZA ESTIVAL, SAN CLEMENTE, CA 92672-3539
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
69634
CA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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