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Individual

ANTHONY FRANK AGRESTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
330 SIR FRANCIS DRAKE BLVD # CA94960, SAN ANSELMO, CA 94960-2552
(415) 933-2490
Mailing address
45 WOODLAND AVE APT 7, SAN ANSELMO, CA 94960-2643
(415) 933-2490

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0026158
CO
225700000X
Massage Therapist
Primary
80430
CA

Other

Enumeration date
01/02/2024
Last updated
01/02/2024
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