Individual
MR. DYLAN QUINN JAWAHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., L.M.T.
Contact information
Practice address
11848 BERNARDO PLAZA CT, SUITE 100, SAN DIEGO, CA 92128-2416
(858) 349-5057
Mailing address
10910 POLARIS DR, SAN DIEGO, CA 92126-2446
(858) 349-5057
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
13828
CA
225700000X
Massage Therapist
—
—
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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