Individual
CLARISSA DE PAULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
829 E LODGEPOLE CT, GILBERT, AZ 85298-7311
(714) 594-9854
Mailing address
829 E LODGEPOLE CT, GILBERT, AZ 85298-7311
(714) 594-9854
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
Primary
MT-30255
AZ
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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