Individual
JUSTIN BLADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
496 SUNDANCE ST, THOUSAND OAKS, CA 91360-1230
(805) 796-6431
Mailing address
496 SUNDANCE ST, THOUSAND OAKS, CA 91360-1230
(805) 796-6431
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19572
CA
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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