Individual
SHANE STIPANCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
4662 LINCOLN AVE APT 107, CYPRESS, CA 90630-2657
(210) 749-8101
Mailing address
4662 LINCOLN AVE APT 107, CYPRESS, CA 90630-2657
(210) 749-8101
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92902
CA
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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