Individual
MR. DOUGLAS DEVIN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
44 VIA ADRIAN, SAN CLEMENTE, CA 92673-7026
(310) 293-3806
Mailing address
44 VIA ADRIAN, SAN CLEMENTE, CA 92673-7026
(310) 293-3806
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
91329
CA
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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