Individual
MS. ELLEN FEAD FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.P.
Contact information
Practice address
1111 RIVERSIDE AVE STE 404, PASO ROBLES, CA 93446-2682
(805) 835-9798
Mailing address
1111 RIVERSIDE AVE STE 404, PASO ROBLES, CA 93446-2682
(805) 835-9798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
53469
CA
225700000X
Massage Therapist
Primary
53469
CA
Other
Enumeration date
08/18/2014
Last updated
10/27/2019
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