MR. Edward Wiley Quisenberry III, CMT

NPI #1952510109 in Montclair, California

Provider Information

NPI Number: 1952510109
Entity Type: Individual
Name: MR. Edward Wiley Quisenberry III, CMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: CMT
Enumeration Date: May 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5206 BENITO ST STE 103
City: Montclair
State: California
ZIP Code: 91763-2859
Phone: (909) 398-1092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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