Individual
MERVIN ENRIQUE NOGUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18575 GALE AVE STE 265, CITY OF INDUSTRY, CA 91748-1384
(626) 532-5762
Mailing address
18575 GALE AVE STE 265, CITY OF INDUSTRY, CA 91748-1384
(626) 532-5762
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
94638
CA
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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