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Individual

MISS JAMILAH EL ELITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
628 2ND AVE STE 302, CROCKETT, CA 94525-1176
(510) 435-7772
(510) 787-7704
Mailing address
1012 CHELSEA, HERCULES, CA 94547-3848
(510) 435-7772

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CA
175F00000X
Naturopath
CA

Other

Enumeration date
02/13/2008
Last updated
02/13/2008
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