Individual
MIREYA BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27250 VIA INDUSTRIA STE A, TEMECULA, CA 92590-3751
(858) 616-6400
Mailing address
15631 LAKE TERRACE DR, LAKE ELSINORE, CA 92530-5652
(951) 291-3172
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88417
CA
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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