Individual
MRS. MICHELLE MAYBERRY LOPILATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 E WASHINGTON AVE, SANTA ANA, CA 92701-3249
(714) 353-5746
Mailing address
1613 E WASHINGTON AVE, SANTA ANA, CA 92701-3249
(714) 353-5746
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81936
CA
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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