Individual
MATTHEW HISSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44830 VALLEY CENTRAL WAY STE 106, LANCASTER, CA 93536-1505
(661) 942-0252
Mailing address
44830 VALLEY CENTRAL WAY STE 106, LANCASTER, CA 93536-1505
(661) 942-0252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
62653
CA
Other
Enumeration date
07/24/2017
Last updated
07/21/2022
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