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Individual

MR. CHRYSTIAN HUMBERTO GUARDADO-LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MT

Contact information

Practice address
4126 TELEGRAPH AVE, OAKLAND, CA 94609-2406
(510) 358-3318
Mailing address
4126 TELEGRAPH AVE, OAKLAND, CA 94590
(510) 358-3318

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
96924
CA

Other

Enumeration date
07/25/2025
Last updated
07/25/2025
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