Individual
LILLY BETH PELAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANMT
Contact information
Practice address
600 S HARBOR BLVD, ANAHEIM, CA 92805-4526
(714) 823-0318
Mailing address
11971 RICKY AVE, GARDEN GROVE, CA 92840-1746
(714) 823-0318
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77061
CA
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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