Individual
MRS. PATRICIA MANSERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 E 7TH ST APT 7, LONG BEACH, CA 90804-4985
(562) 209-5802
Mailing address
3100 E 7TH ST APT 7, LONG BEACH, CA 90804-4985
(562) 209-5802
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
64707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64707
MASSAGE THERAPIST
CA
Enumeration date
09/24/2020
Last updated
09/24/2020
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