Individual
JOHN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
16742 SIMS LN, HUNTINGTON BEACH, CA 92649-3313
(323) 765-5912
Mailing address
16742 SIMS LN, HUNTINGTON BEACH, CA 92649-3313
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73034
CA
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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