Individual
MICHAEL ANTHONY CACERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W ALAMEDA AVE, BURBANK, CA 91502-2209
(818) 581-6069
Mailing address
13474 GOLETA ST, ARLETA, CA 91331-4615
(818) 744-1498
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61453
CA
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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