Organization
BOXING STRONG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASHA CAVAZOS (OWNER)
(831) 200-3392
Entity
Organization
Contact information
Practice address
2700 GARDEN RD, MONTEREY, CA 93940-5380
(831) 200-3392
Mailing address
2700 GARDEN RD, MONTEREY, CA 93940-5380
(831) 200-3392
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558189555
—
CA
Enumeration date
02/13/2025
Last updated
02/13/2025
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