Individual
SERGIO DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
3226 MELANIE RD, MARINA, CA 93933-2627
(831) 854-8918
Mailing address
3226 MELANIE RD, MARINA, CA 93933-2627
(831) 854-8918
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
48355
CA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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