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Individual

BRIAN ASCENCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
742 GELLERT BLVD, DALY CITY, CA 94015-2724
(209) 737-5604
Mailing address
742 GELLERT BLVD, DALY CITY, CA 94015-2724
(209) 737-5604

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
225700000X
Massage Therapist
Primary
101087
CA

Other

Enumeration date
01/24/2023
Last updated
01/29/2026
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