Individual
JORDAN ELIZABETH RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED
Contact information
Practice address
1717 ROBLE GRANDE RD, ALPINE, CA 91901-3024
(619) 917-6249
Mailing address
1717 ROBLE GRANDE RD, ALPINE, CA 91901-3024
(619) 917-6249
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72403
CA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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