Individual
TERESA AGUILAR FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23441 E RIVER RD, ESCALON, CA 95320-9724
(209) 752-1799
Mailing address
23441 E RIVER RD, ESCALON, CA 95320-9724
(209) 752-1799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92890
CA
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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