Melanie Renee Jaquess CMT

NPI 1083092308 - Massage Therapist - 225700000X

NPI Details
NPI 1083092308
Gender Female
Enumeration Date 05/07/2015
Last Updated 05/07/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3455 MERIDIAN AVE
SAN DIEGO CA, 92115-7206, US
Phone (619) 906-0572
Fax
Business Location
3455 MERIDIAN AVE
SAN DIEGO CA, 92115-7206, US
Phone (619) 906-0572
Fax
Toxanomy
Taxonomy Code 225700000X
License State California
License Number 57149
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According to our database, Mrs. Melanie Renee Jaquess CMT NPI is 1083092308, taxonomy code is 225700000X and license number is 57149, license state is located at California. Melanie Renee Jaquess CMT physically located at 3455 Meridian Ave, San Diego CA, 92115-7206. NPI Number Melanie Renee Jaquess CMT has the Individual type.

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1083092308 NPI number is provided on an as is basis without warranty of any kind. 1083092308 is maintained by the National Plan & Provider Enumeration System. The contents of Melanie Renee Jaquess CMT are for informational purposes only.