Individual
MR. JESSE IAN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
514 S KING ST, SANTA ANA, CA 92704-1603
(949) 596-5887
Mailing address
514 S KING ST, SANTA ANA, CA 92704-1603
(949) 596-5887
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20023
CA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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