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Individual

MR. NATHAN MIKAEL JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
5714 LONETREE BLVD, ROCKLIN, CA 95765-3734
(916) 259-2510
Mailing address
137 DORER DR APT D, AUBURN, CA 95603-5455
(530) 637-8773

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
54193
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54193
CAMTC
CA
Enumeration date
10/13/2020
Last updated
06/15/2023
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