Individual
DENISE ANGELA JOAN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 ROUNDTREE BLVD, SAN RAFAEL, CA 94903-1639
(415) 328-4884
Mailing address
131 ROUNDTREE BLVD, SAN RAFAEL, CA 94903-1639
(415) 328-4884
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
66791
CA
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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