Individual
JAVIER LOPEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.M.T.
Contact information
Practice address
1231 40TH ST APT 231, EMERYVILLE, CA 94608-3671
(415) 691-9431
Mailing address
1890 OREGANO WAY, TRACY, CA 95376-6727
(415) 574-0711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1268
CA
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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