Individual
BRANT DAN KONJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT - MASSAGE
Contact information
Practice address
3945 8TH AVE UNIT 2, SAN DIEGO, CA 92103-3243
(248) 890-1214
Mailing address
3945 8TH AVE UNIT 2, SAN DIEGO, CA 92103-3243
(248) 890-1214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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