Individual
TIESIA R LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4749 W SPRUCE AVE STE 107, FRESNO, CA 93722-3574
(559) 521-5152
Mailing address
342 E EL PASO AVE UNIT 101, FRESNO, CA 93720-2430
(559) 521-5152
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73857
CA
Other
Enumeration date
03/21/2022
Last updated
11/28/2022
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