Individual
JAVIER URA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2310 SPECTRUM, IRVINE, CA 92618-3137
(949) 434-4758
Mailing address
PO BOX 36, LAKE FOREST, CA 92609-0036
(949) 434-4758
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78115
CA
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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