Individual
GLENN-CLIFFORD DAVID GANGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CMT
Contact information
Practice address
1801 BUSH ST STE 303, SAN FRANCISCO, CA 94109-5272
(415) 996-7979
(415) 887-5411
Mailing address
1801 BUSH ST STE 303, SAN FRANCISCO, CA 94109-5272
(415) 996-7979
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
751715
CA
225700000X
Massage Therapist
84076
CA
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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