Individual
JASON GALAVIZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1533 7TH ST STE 302, SANGER, CA 93657-2494
(559) 344-7540
Mailing address
1128 W WALTER AVE UNIT 65, FOWLER, CA 93625-4420
(553) 344-7540
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82004
CA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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