Individual
MR. ROBERT ARTHUR CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
14626 VIA EL CAMINO, BALDWIN PARK, CA 91706-2758
(310) 877-0338
Mailing address
14626 VIA EL CAMINO, BALDWIN PARK, CA 91706-2758
(310) 877-0338
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992095905
—
CA
Enumeration date
04/11/2011
Last updated
04/28/2011
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