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Individual

DENNIS YOUNG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MMT

Contact information

Practice address
4833 SANTA MONICA AVE UNIT 7840, SAN DIEGO, CA 92107-2810
(760) 401-7968
Mailing address
4833 SANTA MONICA AVE UNIT 7840, SAN DIEGO, CA 92107-2810

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72368
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
72368
MEDICAL MASSAGE CERT
CA
01
73268
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
12/19/2016
Last updated
06/22/2021
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