MS. Carla Maria Fountain, CMT

NPI #1760081699 in Brea, California

Provider Information

NPI Number
1760081699
Entity Type
Individual
Name
MS. Carla Maria Fountain, CMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
CMT
Enumeration Date
Oct 21, 2020
Last Updated
Oct 21, 2020

Practice Location

Address
2360 CARROTWOOD DR
City
Brea
ZIP Code
92821-4617
Phone
(714) 321-9938

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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