Individual
JAMES MICHAEL MCCULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
4494 39TH ST, SAN DIEGO, CA 92116-4677
(619) 902-2591
Mailing address
4494 39TH ST, SAN DIEGO, CA 92116-4677
(619) 902-2591
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88704
CA
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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