Individual
PAUL PORTER VINCENT BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
717 K ST STE 325, SACRAMENTO, CA 95814-3406
(916) 534-8772
Mailing address
717 K ST STE 306, SACRAMENTO, CA 95814-3477
(916) 534-8772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17813
CA
Other
Enumeration date
03/07/2019
Last updated
07/23/2021
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