Individual
MRS. JEANENNE KAY MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. T.
Contact information
Practice address
3300 GLENDOWER ST, ROSAMOND, CA 93560-7632
(661) 992-7480
Mailing address
3300 GLENDOWER ST, ROSAMOND, CA 93560-7632
(661) 992-7480
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MTL-07-013
CA
Other
Enumeration date
07/21/2007
Last updated
07/26/2007
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