Individual
JUSTIN DANIEL SAMADANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
2345 SHARON RD, MENLO PARK, CA 94025-6807
(650) 309-6126
Mailing address
2345 SHARON RD, MENLO PARK, CA 94025-6807
(650) 309-6126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
85947
CA
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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