Individual
ELISA LOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2615 CAMINO DEL RIO S STE 201, SAN DIEGO, CA 92108-3713
(619) 542-0884
Mailing address
4498 PAOLA WAY, SAN DIEGO, CA 92117-4013
(619) 517-8928
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5494
CA
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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