Individual
JUSTIN CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16084 PAWNEE RD, APPLE VALLEY, CA 92307-1840
(916) 220-2727
Mailing address
16084 PAWNEE RD, APPLE VALLEY, CA 92307-1840
(916) 220-2727
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95767
CA
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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