Individual
KEENAN JOSEPH MCGUCKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4341 CRESTVIEW DR, LA MESA, CA 91941-6935
(619) 241-3726
Mailing address
4341 CRESTVIEW DR, LA MESA, CA 91941-6935
(619) 241-3726
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
97496
CA
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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