Individual
MR. PAUL STEPHEN BAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED MASSAGE TH
Contact information
Practice address
69 OLD SAN JOSE ROAD, SOQUEL, CA 95073
(831) 332-4508
Mailing address
769 OLD SAN JOSE ROAD, SOQUEL, CA 95073
(831) 332-4508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
80371
CA
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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