Individual
JOY LARAINE ATHANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2602 1ST AVE, SAN DIEGO, CA 92103-6529
(619) 316-6714
Mailing address
3502 1ST AVE, APARTMENT 12, SAN DIEGO, CA 92103-4884
(619) 316-6714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
222461
CA
225700000X
Massage Therapist
Primary
3090
CA
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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