Individual
MICHAEL ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 DOVE ST STE 278, NEWPORT BEACH, CA 92660-2411
(949) 292-9207
Mailing address
3640 S BEAR ST UNIT F, SANTA ANA, CA 92704-7290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4487
CA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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