Individual
PAUL WELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAMT, M.A.
Contact information
Practice address
12455 POWAY RD, POWAY, CA 92064-4320
(858) 679-5544
Mailing address
10708 ELDERWOOD LN, SAN DIEGO, CA 92131-1540
(858) 222-4961
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8443
CA
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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