Charles Holbrook Swan
Massage Therapist in Encinitas, CA. Individual provider (NPI-1).
NPI number1982209854
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1982209854
- Entity type
- Individual (NPI-1)
- Name
- Charles Holbrook Swan
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2020
- Certification date
- Nov 30, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 4922 | CA | Yes |
Practice location
1712 Greentree RdEncinitas, CA 92024-3022
Phone 760-613-8719
Mailing address
1712 Greentree RdEncinitas, CA 92024-3022
Phone 760-613-8719
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All 30 Massage Therapist providers in Encinitas · All 2,508 providers in Encinitas
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