Individual
MATTIE WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9930 MAINE AVE, LAKESIDE, CA 92040-3108
(619) 813-8011
Mailing address
12497 CASTLE COURT DR, LAKESIDE, CA 92040-4273
(619) 813-8011
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14105
CA
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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