Individual
SAMUEL J VISNIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
28822 OLD TOWN FRONT ST STE 306, TEMECULA, CA 92590-2723
(424) 442-0663
Mailing address
28822 OLD TOWN FRONT ST STE 306, TEMECULA, CA 92590-2723
(424) 442-0663
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26153
CA
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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