Individual
JAVIER HERNAN MONTENEGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10175 BREIDT AVE, TUJUNGA, CA 91042-2564
(747) 235-6026
Mailing address
10175 BREIDT AVE, TUJUNGA, CA 91042-2564
(747) 235-6026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23428
CA
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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