Individual
ANDRE POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4336 CONDOR AVE, FONTANA, CA 92336-4775
(404) 953-8510
Mailing address
4336 CONDOR AVE, FONTANA, CA 92336-4775
(404) 953-8510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
97595
CA
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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