Individual
JOEL DACANAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT,
Contact information
Practice address
680 LANGSDORF DR STE 100, FULLERTON, CA 92831-3702
(909) 569-3913
Mailing address
11783 BRANDYWINE PL, RANCHO CUCAMONGA, CA 91730-3915
(909) 569-3913
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60598
CA
Other
Enumeration date
04/19/2018
Last updated
07/21/2022
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