Individual
CANDELARIO TABLASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16025 GALE AVE STE B7, CITY OF INDUSTRY, CA 91745-1633
(626) 333-3172
Mailing address
15135 EUCALYPTUS AVE, BELLFLOWER, CA 90706-3701
(562) 301-5182
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
40319
CA
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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