Individual
MR. CHRISTIAN CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMP
Contact information
Practice address
834 7TH ST APT 10, SANTA MONICA, CA 90403-1492
(917) 587-2416
Mailing address
834 7TH ST APT 10, SANTA MONICA, CA 90403-1492
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
58382
CA
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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