Individual
JARED PHOENIX STOHLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 TOBRURRY WAY, FOLSOM, CA 95630-6337
(916) 720-8060
Mailing address
2795 E BIDWELL ST STE 100, FOLSOM, CA 95630-6480
(916) 720-8060
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95966
CA
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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