Shauna Wise, LMT | |
2156 Balboa Ave, San Diego, CA 92109-4627 | |
(352) 538-6750 | |
Not Available |
Full Name | Shauna Wise |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 2156 Balboa Ave, San Diego, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437811684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 72110 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shauna Wise, LMT 2156 Balboa Ave, San Diego, CA 92109-4627 Ph: (352) 538-6750 | Shauna Wise, LMT 2156 Balboa Ave, San Diego, CA 92109-4627 Ph: (352) 538-6750 |
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