Individual
TOMMY WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2891 CANYON CREST DR, APT# 13, RIVERSIDE, CA 92507-7906
(951) 210-2945
Mailing address
2891 CANYON CREST DR, APT# 13, RIVERSIDE, CA 92507-7906
(951) 210-2945
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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