Individual
CHANGMIN JIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
23962 ALESSANDRO BLVD STE J, MORENO VALLEY, CA 92553-8806
(714) 642-9386
Mailing address
23962 ALESSANDRO BLVD STE J, MORENO VALLEY, CA 92553-8806
(714) 642-9386
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
57660
CA
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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