Individual
JONATHN DAVID ADAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2322 BUTANO DR STE 214, SACRAMENTO, CA 95825-0657
(916) 488-4223
Mailing address
2322 BUTANO DR STE 214, SACRAMENTO, CA 95825-0657
(916) 488-4223
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
74545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74545
CAMTC
CA
Enumeration date
11/21/2018
Last updated
11/21/2018
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