Individual
MICHAEL TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
10601 CHURCH ST STE 109, RANCHO CUCAMONGA, CA 91730-6894
(909) 285-4561
Mailing address
328 E J ST, ONTARIO, CA 91764-2719
(909) 238-5152
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
85012
CA
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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