Individual
MRS. ELIZABETH MOSQUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W 10TH ST, CORONA, CA 92882-4301
(909) 802-3026
Mailing address
PO BOX 21284, RIVERSIDE, CA 92516-1284
(909) 802-3026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16468
CA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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