Individual
NOEL HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4666 CASS ST, SAN DIEGO, CA 92109-2860
(619) 761-9544
Mailing address
4666 CASS ST, SAN DIEGO, CA 92109-2860
(619) 761-9544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
146288
CA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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