Individual
ELIZABETH MARIE AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73397 SAN NICHOLAS AVE, PALM DESERT, CA 92260-2852
(760) 296-0324
Mailing address
73397 SAN NICHOLAS AVE, PALM DESERT, CA 92260-2852
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
36846
CA
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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