Individual
DOEL JAY NEGRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCMT
Contact information
Practice address
3065 PORTER ST STE 105, SOQUEL, CA 95073-2231
(831) 454-8198
Mailing address
3065 PORTER ST STE 105, SOQUEL, CA 95073-2231
(831) 454-8198
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
67475
CA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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