Individual
JUSTIN AARON CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.M.P.
Contact information
Practice address
107 MARIPOSA AVE, DALY CITY, CA 94015-2106
(415) 271-2430
Mailing address
107 MARIPOSA AVE, DALY CITY, CA 94015-2106
(415) 271-2430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21827
CA
Other
Enumeration date
04/02/2012
Last updated
06/03/2012
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