Individual
SIMON ISAAC DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT/CMT
Contact information
Practice address
623 HEMISFAIR BLVD APT 611, SAN ANTONIO, TX 78205-3354
(210) 889-4635
Mailing address
623 HEMISFAIR BLVD APT 611, SAN ANTONIO, TX 78205-3354
(210) 889-4635
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
84708
CA
225700000X
Massage Therapist
Primary
MT130587
TX
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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