Individual
MS. JESSICA DENISE DOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4551 CALIFORNIA AVE #7, BAKERSFIELD, CA 93309
(850) 566-4205
Mailing address
4551 CALIFORNIA AVE #7, BAKERSFIELD, CA 93309
(850) 566-4205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88761
MASSAGE LICENSE NUMBER
CA
Enumeration date
04/13/2022
Last updated
04/13/2022
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