Individual
LEQUISHA MAWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 WILSON AVE, OAKLAND, CA 94602-2957
(510) 821-3964
Mailing address
3425 WILSON AVE, OAKLAND, CA 94602-2957
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77470
CA
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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