Individual
MARISOL MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33932 WINDMILL RD, WILDOMAR, CA 92595-8871
(951) 423-1568
Mailing address
33932 WINDMILL RD, WILDOMAR, CA 92595-8871
(951) 423-1568
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61912
CA
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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