Individual
CALVIN SPIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHP
Contact information
Practice address
2180 GARNET AVE, SUITE 3L, SAN DIEGO, CA 92109-3610
(619) 719-1644
Mailing address
4118 CALGARY AVE, SAN DIEGO, CA 92122-2509
(619) 719-1644
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
58460
CA
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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