Individual
BIANCA SELENNE WOOTRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5560 LA JOLLA BLVD STE B, LA JOLLA, CA 92037-7650
(619) 799-5508
Mailing address
5560 LA JOLLA BLVD STE B, LA JOLLA, CA 92037-7650
(619) 799-5508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86189
CA
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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