Individual
LETICIA DESIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
910 2ND ST, ENCINITAS, CA 92024-4410
(760) 633-1970
Mailing address
789 SAXONY RD UNIT A, ENCINITAS, CA 92024-2352
(203) 456-0572
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75642
CA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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