Johnny Douglas, | |
222 N Acacia Ave, Solana Beach, CA 92075-1106 | |
(760) 529-7679 | |
Not Available |
Full Name | Johnny Douglas |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 222 N Acacia Ave, Solana Beach, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134669906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 19564 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Johnny Douglas, 222 N Acacia Ave, Solana Beach, CA 92075-1106 Ph: (760) 529-7679 | Johnny Douglas, 222 N Acacia Ave, Solana Beach, CA 92075-1106 Ph: (760) 529-7679 |
Mrs. Kelly Brett, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: Ste 300, 312 S Cedros Ave, Solana Beach, CA 92075 Phone: 858-877-1574 | |
Cory Harris, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 634 Stevens Ave, Solana Beach, CA 92075 Phone: 858-350-6290 Fax: 858-350-6775 |