Individual
DANA WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, CLT
Contact information
Practice address
317 N EL CAMINO REAL, STE 408, ENCINITAS, CA 92024-2811
(858) 888-3756
Mailing address
5423 LAKE MURRAY BLVD, #9, LA MESA, CA 91942-1548
(858) 888-3756
(858) 408-9404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29684
CA
Other
Enumeration date
03/06/2014
Last updated
05/03/2016
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