Individual
ALLEN ISSEI GOLDITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11419 DUENDA RD, SAN DIEGO, CA 92127-1217
(858) 776-7452
Mailing address
11419 DUENDA RD, SAN DIEGO, CA 92127-1217
(858) 776-7452
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79207
CA
Other
Enumeration date
04/24/2025
Last updated
04/30/2025
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