Individual
JOSE DANIEL VILLEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 FOSTER CITY BLVD APT 7202, FOSTER CITY, CA 94404-2394
(650) 504-0928
Mailing address
1000 FOSTER CITY BLVD APT 7202, FOSTER CITY, CA 94404-2394
(650) 504-0928
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
66960
CA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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