Individual
DOMINIC PETRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17141 WILD WAY, LOS GATOS, CA 95030-2335
(408) 458-0632
Mailing address
17141 WILD WAY, LOS GATOS, CA 95030-2335
(408) 458-0632
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76539
CA
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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