Jeanelle Diaz CMT

NPI 1023368149 - Massage Therapist - 225700000X

NPI Details
NPI 1023368149
Gender Female
Enumeration Date 09/17/2012
Last Updated 09/17/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
654 JENEVEIN AVE
SAN BRUNO CA, 94066-4230, US
Phone (650) 877-0999
Fax
Business Location
29 MORTON DR
DALY CITY CA, 94015-4415, US
Phone
Fax
Toxanomy
Taxonomy Code 225700000X
License State
License Number
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According to our database, Ms. Jeanelle Diaz CMT NPI is 1023368149, taxonomy code is 225700000X Jeanelle Diaz CMT physically located at 654 Jenevein Ave, San Bruno CA, 94066-4230. NPI Number Jeanelle Diaz CMT has the Individual type.

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1023368149 NPI number is provided on an as is basis without warranty of any kind. 1023368149 is maintained by the National Plan & Provider Enumeration System. The contents of Jeanelle Diaz CMT are for informational purposes only.