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 |
Autumn Dawn Jones, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 34888 Tulip Ln, Wildomar, CA 92595 Phone: 951-591-0102 | |
Marisol Moreno, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 33932 Windmill Rd, Wildomar, CA 92595 Phone: 951-423-1568 |