Individual
ANDRES LAYANGLAWIN FIDEL-EMMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1146 CANTERBURY, HERCULES, CA 94547-3613
(510) 410-5237
Mailing address
1146 CANTERBURY, HERCULES, CA 94547-3613
(510) 410-5237
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
99710
CA
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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