Individual
ADAM AGUSTIN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
813 W WASHINGTON ST, SAN DIEGO, CA 92103-1804
(619) 269-9909
Mailing address
1948 SAN DIEGO AVE, SAN DIEGO, CA 92110-2108
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
55258
CA
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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