JORDAN MATTHEW DELAGRANGE

SAN DIEGO, CA
NPI1033881875
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: CA  83253)
Enumeration Date2021-09-30
Last Update Date2021-09-30
Business Address
JORDAN MATTHEW DELAGRANGE LMT
2801 CAMINO DEL RIO S STE 204-7
SAN DIEGO, CA 92108-3800
Phone number: 260-444-1159
Mailing Address
JORDAN MATTHEW DELAGRANGE LMT
2606 RIDGEWAY DR APT 3203
NATIONAL CITY, CA 91950-7772
Phone number: 260-444-1159