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Individual

BRYANT HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MASSAGE THERAPIST

Contact information

Practice address
3959 30TH ST STE 103M, SAN DIEGO, CA 92104-3088
(619) 840-8674
Mailing address
4656 BANCROFT ST APT A, SAN DIEGO, CA 92116-3354
(619) 840-8674

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
89940
CA

Other

Enumeration date
04/25/2024
Last updated
04/25/2024
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