Individual
MR. JONATHAN JASON LIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.M.T.
Contact information
Practice address
56 E DUARTE RD, ARCADIA, CA 91006-3511
(626) 447-4888
Mailing address
2004 S BUSHNELL AVE, ALHAMBRA, CA 91803-3926
(213) 503-5338
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
366
CA
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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