Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 8604 | CA |
NPI | 1003245994 |
---|---|
Provider Name | Mr. Carlos Josef Aparicio |
First Address | Berkeley, CA 94703-2302 |
Second Address | Berkeley, CA 94703-2302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2013 |
Last Update Date | 21/05/2016 |