Individual
ANTHONY RAY COMEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 ALTA VISTA DR, VISTA, CA 92084-6450
(760) 529-6692
Mailing address
PO BOX 130833, CARLSBAD, CA 92013-0833
(760) 529-6692
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
83158
CA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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