Individual
JULIO CESAR VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT 79712
Contact information
Practice address
4093 24TH ST, SAN FRANCISCO, CA 94114-3715
(415) 504-2192
Mailing address
4093 24TH ST, SAN FRANCISCO, CA 94114-3715
(415) 504-2192
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79712
CA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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