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Melissa Bruketta, MT

Massage Therapist in Laguna Niguel, CA. Individual provider (NPI-1).

NPI number1508345877
StatusActive
Last updated in NPPESAug 8, 2018

Details

NPI
1508345877
Entity type
Individual (NPI-1)
Name
Melissa Bruketta
Credential
MT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 8, 2018
Last updated
Aug 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist74723CAYes

Practice location

30100 Town Center Dr Ste Yz
Laguna Niguel, CA 92677-2064

Phone 949-276-5401

Mailing address

30100 Town Center Dr Ste Yz
Laguna Niguel, CA 92677-2064

Phone 949-276-5401

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