Individual
MS. SHANNA MARIE BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
4110 SORRENTO VALLEY BLVD, SAN DIEGO, CA 92121-1429
(858) 246-9730
(858) 246-9710
Mailing address
12548 OAK KNOLL RD APT C21, POWAY, CA 92064-5494
(928) 216-0473
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
71862
CA
Other
Enumeration date
01/24/2018
Last updated
03/17/2018
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