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NPI Code Detail

MEDICARE: LOURDES CRISTINA EULLOQUI CAMTC

MEDICARE:   LOURDES CRISTINA EULLOQUI  CAMTC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist81230CA

General Provider Information

NPI Number : 1538011515
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOURDES CRISTINA EULLOQUI CAMTC
Provider Business Mailing Address
First Line : 34365 CEDAR AVE APT 101
Second Line :
City : YUCAIPA
State : CA
Zip : 92399-2764
Country : US
Telephone Number : 909-671-6576
Fax Number :
Provider Business Practice Location Address
First Line : 34365 CEDAR AVE APT 101
Second Line : 101
City : YUCAIPA
State : CA
Zip : 92399-2764
Country : US
Telephone Number : 909-671-6576
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ LOURDES CRISTINA EULLOQUI CAMTC” Practice Location

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