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Individual

ALLAN TATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAMTC# 67605

Contact information

Practice address
7259 BALBOA BLVD UNIT 16, VAN NUYS, CA 91406-2784
(818) 489-2526
Mailing address
7259 BALBOA BLVD UNIT 16, VAN NUYS, CA 91406-2784
(818) 489-2526

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
67605
CA

Other

Enumeration date
09/21/2020
Last updated
09/21/2020
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