Individual
MS. JESSICA LYNN ALLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
57475 29 PALMS HWY, SUITE 101, YUCCA VALLEY, CA 92284-2906
(760) 365-9878
(206) 309-0387
Mailing address
57475 29 PALMS HWY, SUITE 101, YUCCA VALLEY, CA 92284-2906
(760) 365-9878
(206) 309-0387
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
10878
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10878
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
06/16/2011
Last updated
06/16/2011
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