Individual
MR. INTI WING CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1010 MURRIETA BLVD, LIVERMORE, CA 94550-4111
(510) 289-4079
Mailing address
149 LIPTON PL, SAN RAMON, CA 94583-3422
(510) 289-4079
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
31284
CA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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