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Individual

MARIANO CASTANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT, CCM

Contact information

Practice address
1429 E THOUSAND OAKS BLVD, STE 103, THOUSAND OAKS, CA 91362
(805) 231-2091
(805) 870-7339
Mailing address
1429 E THOUSAND OAKS BLVD, STE 103, THOUSAND OAKS, CA 91362
(805) 206-7615
(805) 870-7339

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79564
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45-1608665
LAC
CA
Enumeration date
05/10/2019
Last updated
08/19/2024
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