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Individual

THOMAS A. MILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
37776 OLD HIGHWAY RD, QUINCY, CA 95971-9102
(530) 228-2283
Mailing address
PO BOX 288, QUINCY, CA 95971-0288
(530) 228-2283

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
83084
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83084
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
02/23/2023
Last updated
02/23/2023
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