Individual
JEREMY DEAN QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
431 DAWSON AVE APT 8, LONG BEACH, CA 90814-3685
(949) 312-8596
Mailing address
431 DAWSON AVE APT 8, LONG BEACH, CA 90814-3685
(949) 312-8596
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
74755
CA
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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