Individual
MS. LEITUMALO JESSICA IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
861 27TH ST, SAN FRANCISCO, CA 94131-1731
(415) 694-2020
Mailing address
861 27TH ST, SAN FRANCISCO, CA 94131-1731
(415) 694-2020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
43154
CA
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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