Individual
JONATHAN WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 REDONDO AVE, SUITE 103, LONG BEACH, CA 90803-5900
(562) 704-6480
Mailing address
2925 E 7TH ST APT 310, LONG BEACH, CA 90804-4858
(310) 866-0834
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
62591
CA
Other
Enumeration date
01/17/2016
Last updated
01/17/2016
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