Individual
JACQUELINE RANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4240 LATHAM ST STE C, RIVERSIDE, CA 92501-1741
(951) 546-6108
Mailing address
13736 PECAN PL, MORENO VALLEY, CA 92553-5300
(951) 546-6108
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8424
CA
Other
Enumeration date
04/10/2020
Last updated
05/09/2023
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