Individual
FERNAN SAN JUAN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
427 MORETTI LN, MILPITAS, CA 95035-4641
(408) 425-1857
Mailing address
427 MORETTI LN, MILPITAS, CA 95035-4641
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
50541
CA
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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