Individual
SAM NICOLE ENCARNACION MENDOZA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT, B.S.KIN
Contact information
Practice address
5959 MISSION GORGE RD STE 106, SAN DIEGO, CA 92120-4019
(619) 754-4809
Mailing address
665 CAREFREE DR, SAN DIEGO, CA 92114-5753
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95954
CA
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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