Individual
JUAN VINCENT MARTINEZ JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7785 CAMINO COLEGIO, ROHNERT PARK, CA 94928-5527
(707) 292-5992
Mailing address
7785 CAMINO COLEGIO, ROHNERT PARK, CA 94928-5527
(707) 292-5992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76768
CA
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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