Individual
ALBERT LUIS MACOUZET JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1114 N COAST HWY 101, SUITE 1A, ENCINITAS, CA 92024
(858) 602-2359
Mailing address
2271 VIA ESMARCA APT A, OCEANSIDE, CA 92054-7331
(858) 602-2359
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26171
CA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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