Individual
MR. JONATHAN MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
104 FALLER AVE, SANGER, CA 93657
(559) 908-3393
Mailing address
104 FALLER AVE, SANGER, CA 93657-2185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
84361
CA
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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