William Brevard III
William Brevard III is a Massage Therapist in Anaheim, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
1645 W Palm Ln Apt 32Anaheim, CA 92802-2022
Phone: (714) 926-2370
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Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 48803 (CA) |
|---|
Record details
| NPI number | 1124626916 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 13, 2020 |
| Last updated in NPPES | October 13, 2020 |
| Certification date | October 13, 2020 |
| Mailing address | 1645 W Palm Ln Apt 32, Anaheim, CA 92802-2022 |
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