Individual
ADA BRENDA JARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
72490 EL CENTRO WAY APT 117, THOUSAND PALMS, CA 92276-3434
(760) 464-8849
Mailing address
PO BOX 143, THOUSAND PALMS, CA 92276-0143
(760) 464-8849
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
56366
CA
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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