Individual
JOSE LUIS MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, CLT
Contact information
Practice address
1501 BOLLINGER CANYON RD STE D, SAN RAMON, CA 94583-1758
(510) 691-1477
Mailing address
1501 BOLLINGER CANYON RD STE D, SAN RAMON, CA 94583-1758
(510) 691-1477
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76458
CA
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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