Individual
MR. JOSEPH PETER WALENCEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
555 SOQUEL AVE STE 260, SANTA CRUZ, CA 95062-2340
(831) 400-8408
Mailing address
PO BOX 128, FELTON, CA 95018-0128
(831) 400-8408
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92701
CA
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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