Individual
MICHAEL WOLNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
618 BLOSSOM HILL RD, SUITE 201, SAN JOSE, CA 95123
(408) 475-8876
Mailing address
618 BLOSSOM HILL RD, SUITE 201, SAN JOSE, CA 95123
(408) 475-8876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27641
CA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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