Individual
BRUCE F ARRIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9312 STAGECOACH LN, LOWER LAKE, CA 95457-9847
(707) 692-6874
Mailing address
9312 STAGECOACH LN, LOWER LAKE, CA 95457-9847
(707) 692-6874
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82266
CA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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