Individual
VANESSA MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LE, HHP
Contact information
Practice address
99 VIA PICO PLZ, SAN CLEMENTE, CA 92672-3998
(949) 870-9171
Mailing address
99 VIA PICO PLZ, SAN CLEMENTE, CA 92672-3998
(949) 870-9171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76609
CA
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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