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Individual

PHILLIP JOSEPH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
5044 WOODMINSTER LN, OAKLAND, CA 94602-2614
(510) 919-4852
Mailing address
1675 7TH ST # 23971, OAKLAND, CA 94615-0002
(510) 919-4852

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
70101
CA

Other

Enumeration date
10/23/2023
Last updated
10/23/2023
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