Individual
BENJAMIN N OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE PRACTITIONER
Contact information
Practice address
6055 MERIDIAN AVE STE 30, SAN JOSE, CA 95120-2700
(408) 877-8695
Mailing address
6055 MERIDIAN AVE STE 30, SAN JOSE, CA 95120-2700
(408) 877-8695
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
54415
CA
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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