RUSS ODOM

SAN DIEGO, CA
NPI1104172253
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: CA  30211)
Enumeration Date2012-07-26
Last Update Date2012-07-26
Business Address
-- RUSS ODOM CMT, CMMP
2128 CRENSHAW ST
SAN DIEGO, CA 92105-5130
Phone number: 619-339-1306
Mailing Address
-- RUSS ODOM CMT, CMMP
2128 CRENSHAW ST
SAN DIEGO, CA 92105-5130
Phone number: 619-339-1306
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