Individual
EVAN BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHP, MT
Contact information
Practice address
7956 CINNABAR DR, LA MESA, CA 91941-6353
(619) 587-3517
Mailing address
7956 CINNABAR DR, LA MESA, CA 91941-6353
(619) 587-3517
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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