Individual
OLENA VELYKANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27001 PASEO ACTIVO, SAN JUAN CAPISTRANO, CA 92675-5031
(786) 400-5319
Mailing address
27001 PASEO ACTIVO, SAN JUAN CAPISTRANO, CA 92675-5031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
59538
CA
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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