Individual
JOHN NELMIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 S HUMBOLDT ST, SAN MATEO, CA 94401-2935
(209) 361-4906
Mailing address
201 S HUMBOLDT ST, SAN MATEO, CA 94401-2935
(209) 361-4906
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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