Individual
LANCE WEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1671 PEGASUS ST, NEWPORT BEACH, CA 92660-1347
(619) 961-5450
Mailing address
1671 PEGASUS ST, NEWPORT BEACH, CA 92660-1347
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
41405
CA
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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