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Individual

JENNIFER HERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
578 WASHINGTON BLVD # 1107, MARINA DEL REY, CA 90292-5421
(970) 846-1481
Mailing address
578 WASHINGTON BLVD # 1107, MARINA DEL REY, CA 90292-5421

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0014178
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT.0014178
MASSAGE THERAPIST
CO
Enumeration date
12/10/2020
Last updated
12/10/2020
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