person
Latijera Macon-wilson, CAMCT
Massage Therapist in San Diego, California
NPI 1629849278

Latijera Macon-wilson is a Massage Therapist based in San Diego, CA. Latijera Macon-wilson practices in San Diego, CA and has the professional credentials of CAMCT. The NPI Number for Latijera Macon-wilson is 1629849278 and holds a License No. 36520 (California).

The current practice location address for Latijera Macon-wilson is 3969 4Th Ave Ste 206, San Diego, CA and can be reached out via phone at 619-403-9024.

Location: 3969 4Th Ave Ste 206, San Diego, CA, 92103-3165
person
Provider Profile Details
NPI Number
1629849278
Provider Name
Latijera Macon-wilson
Credential
CAMCT
Provider Entity Type
Individual
Gender
Female
Address
3969 4Th Ave Ste 206, San Diego, CA, 92103-3165
Phone Number
619-403-9024
Fax Number
Provider Enumeration Date
01/12/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3969 4Th Ave Ste 206
City
State
Zip
92103-3165
Phone Number
619-403-9024
Fax Number
person
Provider Business Mailing Address Details
Address
3969 4Th Ave Ste 206
City
State
Zip
92103-3165
Phone Number
619-403-9024
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
36520 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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