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Individual

DANIEL ELLSWORTH WHITE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1351 ENCINITAS BLVD STE A, ENCINITAS, CA 92024-2845
(760) 942-3321
Mailing address
1351 ENCINITAS BLVD SUITE A, ENCINITAS, CA 92024
(760) 942-3321

Taxonomy

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

Other

Enumeration date
07/13/2017
Last updated
07/13/2017
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