Bryan Laverde
Bryan Laverde is a Massage Therapist in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
2117 Elden Ave Apt 14Costa Mesa, CA 92627-1783
Phone: (949) 873-4901
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Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 91934 (CA) |
|---|
Record details
| NPI number | 1598531501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 30, 2023 |
| Last updated in NPPES | April 23, 2025 |
| Certification date | April 23, 2025 |
| Mailing address | 2117 Elden Ave Apt 14, Costa Mesa, CA 92627-1783 |
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