Individual
CARLY P MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IAYT, YOGA THERAPIST
Contact information
Practice address
2415 LAGUNA CANYON RD, LAGUNA BEACH, CA 92651-1139
(714) 391-0038
Mailing address
2415 LAGUNA CANYON RD, LAGUNA BEACH, CA 92651-1139
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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