TRACE RICHARD MASSA

SAN FRANCISCO, CA
NPI1538635784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies172M00000X Mechanotherapist
Enumeration Date2018-10-15
Last Update Date2018-10-15
Business Address
TRACE RICHARD MASSA
1801 VICENTE ST
SAN FRANCISCO, CA 94116-2923
Phone number: 415-681-3211
Mailing Address
TRACE RICHARD MASSA
1801 VICENTE ST
SAN FRANCISCO, CA 94116-2923
Phone number:
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