Individual
CHANTIANA AMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2464 FENTON PKWY APT 110, SAN DIEGO, CA 92108-6705
(214) 609-5146
Mailing address
2464 FENTON PKWY APT 110, SAN DIEGO, CA 92108-6705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
83481
CA
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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