Individual
FAUSTINO RAMON KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
83456 IXTAPA AVE, COACHELLA, CA 92236-6395
(760) 409-0674
Mailing address
83456 IXTAPA AVE, COACHELLA, CA 92236-6395
(760) 409-0674
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
36171
CA
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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