| Omar De Soto, | |
|
33590 Canyon Ranch Rd, Wildomar, CA 92595-8490 | |
| (760) 889-6178 | |
| Not Available |
| Full Name | Omar De Soto |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 33590 Canyon Ranch Rd, Wildomar, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053919720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 78643 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Omar De Soto, 33590 Canyon Ranch Rd, Wildomar, CA 92595-8490 Ph: (760) 889-6178 | Omar De Soto, 33590 Canyon Ranch Rd, Wildomar, CA 92595-8490 Ph: (760) 889-6178 |
Kelley Jeniece Marlowe, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 23905 Clinton Keith Rd # 114-171, Wildomar, CA 92595 Phone: 951-397-6407 | |
Autumn Dawn Jones, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 34888 Tulip Ln, Wildomar, CA 92595 Phone: 951-591-0102 | |
Lisa Maholick, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 33865 Canyon Ranch Rd, Wildomar, CA 92595 Phone: 714-855-7492 | |
Marisol Moreno, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 33932 Windmill Rd, Wildomar, CA 92595 Phone: 951-423-1568 |