CHARLESON PRINCE GODIO AGUSTIN

WESTMINSTER, CA
NPI1447999388
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies225700000X Massage Therapist
(Licence: CA  79389)
Enumeration Date2022-05-31
Last Update Date2022-09-07
Business Address
DR. CHARLESON PRINCE GODIO AGUSTIN DPT, CMT, CSCS
6000 GARDEN GROVE BLVD
WESTMINSTER, CA 92683-1976
Phone number: 562-270-1605
Mailing Address
DR. CHARLESON PRINCE GODIO AGUSTIN DPT, CMT, CSCS
6000 GARDEN GROVE BLVD APT 238
WESTMINSTER, CA 92683-1955
Phone number: 626-756-5036