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Individual

MR. DAVID PATRICK BUONO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
11642 ARTESIA BLVD, ARTESIA, CA 90701-3802
(562) 964-0059
Mailing address
11642 ARTESIA BLVD, ARTESIA, CA 90701-3802
(562) 964-0059

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
34234
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34234
CALIFORNIA STATE CERTIFIED MASSAGE THERAPIST
CA
Enumeration date
06/25/2012
Last updated
06/25/2012
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