Jessica Lynn Alliss CMT

NPI 1073808234 - Mechanotherapist - 172M00000X

NPI Details
NPI 1073808234
Gender Female
Enumeration Date 06/16/2011
Last Updated 06/16/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
57475 29 PALMS HWY
SUITE 101
YUCCA VALLEY CA, 92284-2906, US
Phone (760) 365-9878
Fax (206) 309-0387
Business Location
57475 29 PALMS HWY
SUITE 101
YUCCA VALLEY CA, 92284-2906, US
Phone (760) 365-9878
Fax (206) 309-0387
Toxanomy
Taxonomy Code 172M00000X
License State California
License Number 10878
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According to our database, Ms. Jessica Lynn Alliss CMT NPI is 1073808234, taxonomy code is 172M00000X and license number is 10878, license state is located at California. Jessica Lynn Alliss CMT physically located at 57475 29 Palms Hwy, Yucca Valley CA, 92284-2906. NPI Number Jessica Lynn Alliss CMT has the Individual type.

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1073808234 NPI number is provided on an as is basis without warranty of any kind. 1073808234 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Lynn Alliss CMT are for informational purposes only.