Individual
DAVID VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAMTC
Contact information
Practice address
1704 GLENWOOD RD, GLENDALE, CA 91201-1812
(818) 970-7317
Mailing address
4102 ORANGE AVE, SUITE 106, LONG BEACH, CA 90807-3072
(562) 444-5098
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
31027
CA
225700000X
Massage Therapist
Primary
31027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31027
CAMTC
CA
Enumeration date
10/23/2015
Last updated
10/23/2015
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