Individual
JUSTIN DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5445 VIA BELLO, SAN DIEGO, CA 92111-4517
(619) 630-0044
Mailing address
5445 VIA BELLO, SAN DIEGO, CA 92111-4517
(619) 630-0044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73793
CA
Other
Enumeration date
08/12/2017
Last updated
07/21/2022
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