Individual
JED BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
543 CASTRO ST, SAN FRANCISCO, CA 94114-2511
(415) 450-5723
Mailing address
34 LAS PALOMAS, ORINDA, CA 94563-1916
(415) 450-5723
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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