John Allen Kopack

NPI #1033984968 in Nuevo, California

Provider Information

NPI Number
1033984968
Entity Type
Individual
Name
John Allen Kopack
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Nov 21, 2023
Last Updated
Nov 21, 2023

Practice Location

Address
31288 ELECTRIC AVE
City
Nuevo
ZIP Code
92567-9289
Phone
(760) 216-3216

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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