Individual
JASON VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5444 YOLANDA AVE STE 210, TARZANA, CA 91356-6305
(310) 598-1533
Mailing address
14159 GILMORE ST APT 5, VAN NUYS, CA 91401-6547
(214) 690-7980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
42634
CA
Other
Enumeration date
09/30/2017
Last updated
09/30/2017
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