Bruce Carlson, | |
3564 Mauricia Ave, Santa Clara, CA 95051-6618 | |
(408) 338-9277 | |
Not Available |
Full Name | Bruce Carlson |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 3564 Mauricia Ave, Santa Clara, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184352767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 90195 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Bruce Carlson, 3564 Mauricia Ave, Santa Clara, CA 95051-6618 Ph: (408) 338-9277 | Bruce Carlson, 3564 Mauricia Ave, Santa Clara, CA 95051-6618 Ph: (408) 338-9277 |
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