Individual
JOSE LUIS CARDENAS GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5910 PACIFIC AVE, STOCKTON, CA 95207-4704
(209) 475-1000
Mailing address
5910 PACIFIC AVE, STOCKTON, CA 95207-4704
(209) 706-5658
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13720
CA
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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