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Individual

JACKELYN HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
808 MERCY AVE, MODESTO, CA 95358-1451
(209) 765-3451
Mailing address
808 MERCY AVE, MODESTO, CA 95358-1451
(209) 765-3451

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86015
CA

Other

Enumeration date
07/11/2025
Last updated
07/11/2025
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