Individual
JOSHUA SAMUEL CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
901 DOVER DR STE 234, NEWPORT BEACH, CA 92660-5515
(949) 642-8193
(949) 325-0817
Mailing address
901 DOVER DR STE 234, NEWPORT BEACH, CA 92660-5515
(949) 642-8193
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
87240
CA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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