Fernan San Juan Reyes, MT

NPI #1780382242 in Milpitas, California

Provider Information

NPI Number: 1780382242
Entity Type: Individual
Name: Fernan San Juan Reyes, MT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Feb 23, 2023
Last Updated: Feb 23, 2023

Practice Location

Address: 427 MORETTI LN
City: Milpitas
State: California
ZIP Code: 95035-4641
Phone: (408) 425-1857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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