Individual
MR. MARK DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAMTC 89825
Contact information
Practice address
100 S ELLSWORTH AVE STE 804, SAN MATEO, CA 94401-3926
(650) 417-3669
Mailing address
480 E 4TH AVE UNIT 338, SAN MATEO, CA 94401-3488
(415) 350-8793
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
89825
CA
Other
Enumeration date
08/19/2022
Last updated
12/30/2025
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