Individual
BENJAMIN EDWARD BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT, NMT
Contact information
Practice address
10990 WARNER AVE STE B, FOUNTAIN VALLEY, CA 92708-3849
(714) 593-8881
Mailing address
17284 NEWHOPE ST STE 217, FOUNTAIN VALLEY, CA 92708-8201
(951) 486-1796
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75327
CA
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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