Individual
MR. IVAN CHRISTOPHER STAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
18351 BEACH BLVD STE B, HUNTINGTON BEACH, CA 92648-1346
(714) 913-3310
Mailing address
18351 BEACH BLVD STE B, HUNTINGTON BEACH, CA 92648-1346
(714) 913-3310
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
56316
CA
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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