Individual
FABIAN MARTINEZ ESCORZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
311 S 37TH ST, SAN DIEGO, CA 92113-1745
(619) 993-4873
Mailing address
311 S 37TH ST, SAN DIEGO, CA 92113-1745
(619) 993-4873
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78625
CA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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