Individual
KENNETH MCCAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
3283 VICTORIA AVE, SANTA CLARA, CA 95051-2723
(408) 368-1590
Mailing address
3283 VICTORIA AVE, SANTA CLARA, CA 95051-2723
(408) 368-1590
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17835
CA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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