Individual
SAMUEL P GRANILLO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
38397 INNOVATION CT STE 103, MURRIETA, CA 92563-2631
(951) 579-0758
Mailing address
38397 INNOVATION CT STE 103, MURRIETA, CA 92563-2631
(951) 579-0758
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
96980
CA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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