Individual
JACOB MEDVIDOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AMNT, CMT
Contact information
Practice address
550 WATER ST, SANTA CRUZ, CA 95060-4124
(717) 645-9949
Mailing address
18701 VIERRA CANYON RD, SALINAS, CA 93907-1346
(717) 645-9949
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75498
CA
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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