Individual
JOSHUA MINH QUACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, CMT
Contact information
Practice address
200 GRAPEVINE RD APT 46, VISTA, CA 92083-4045
(951) 454-9397
Mailing address
200 GRAPEVINE RD APT 46, VISTA, CA 92083-4045
(951) 454-9397
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
96474
CA
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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