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Individual

DAVID TYLER HUSBAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3301 MICHELSON DR APT 2313, IRVINE, CA 92612-4304
(949) 616-2008
Mailing address
3301 MICHELSON DR APT 2313, IRVINE, CA 92612-4304
(949) 616-2008

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
69650
CA

Other

Enumeration date
10/20/2020
Last updated
10/20/2020
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