Individual
JOHN CHARLES JEROME JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1835 NEWPORT BLVD STE A210, SUITE 117, COSTA MESA, CA 92627-5011
(714) 381-6111
Mailing address
3045 GRANT AVE, COSTA MESA, CA 92626-2854
(714) 381-6111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23468
CA
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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