Individual
PATRICIA SALAS SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21196 GLADIOLOS WAY, LAKE FOREST, CA 92630-7618
(626) 804-1713
Mailing address
21196 GLADIOLOS WAY, LAKE FOREST, CA 92630-7618
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
94344
CA
Other
Enumeration date
07/21/2021
Last updated
12/19/2024
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