Individual
CONRAD BRIAN SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1099 38TH AVE SPC 55, SANTA CRUZ, CA 95062-4409
(408) 832-1570
Mailing address
1099 38TH AVE SPC 55, SANTA CRUZ, CA 95062-4409
(408) 832-1570
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82123
CA
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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