Individual
MR. CODY AUSTIN JENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1832 HILLTOP WAY, FRAZIER PARK, CA 93225-9577
(818) 309-5016
Mailing address
1832 HILLTOP WAY, FRAZIER PARK, CA 93225-9577
(818) 309-5016
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
96684
CA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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