Individual
BRENDEN PETTINGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 18TH ST STE 204, SAN FRANCISCO, CA 94114-2449
(916) 390-3701
Mailing address
1718 14TH ST, OAKLAND, CA 94607-1514
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79706
CA
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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