Johannes Devino
Massage Therapist in Carlsbad, CA. Individual provider (NPI-1).
NPI number1992495436
StatusActive
Last updated in NPPESMay 9, 2023
Details
- NPI
- 1992495436
- Entity type
- Individual (NPI-1)
- Name
- Johannes Devino
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2023
- Certification date
- May 9, 2023
- Last updated
- May 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
2381 Cipriano LnCarlsbad, CA 92008-1006
Phone 208-585-1303
Mailing address
2381 Cipriano LnCarlsbad, CA 92008-1006
Phone 208-585-1303
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