Individual
CASSANDRA CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23162 LOS ALISOS BLVD, STE#1028, MISSION VIEJO, CA 92691-2843
(949) 951-1560
Mailing address
25885 TRABUCO RD APT 55, LAKE FOREST, CA 92630-6613
(714) 399-8763
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2805
CA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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