Johnny Douglas

NPI #1134669906 in Solana Beach, California

Provider Information

NPI Number
1134669906
Entity Type
Individual
Name
Johnny Douglas
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Feb 27, 2017
Last Updated
Feb 27, 2017

Practice Location

Address
222 N ACACIA AVE
ZIP Code
92075-1106
Phone
(760) 529-7679

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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