Individual
MICHAEL JOHN DECOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
18953 PATTON DR, CASTRO VALLEY, CA 94546-3134
(337) 501-7858
Mailing address
18953 PATTON DR, CASTRO VALLEY, CA 94546-3134
(337) 501-7858
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
67690
CA
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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