Individual
DINAIR SISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2660 GOUGH ST, SUITE 204, SAN FRANCISCO, CA 94123-4401
(415) 240-1642
Mailing address
2342 FULTON ST, SAN FRANCISCO, CA 94118-4129
(415) 240-1642
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
39436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CERT# 3943
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
01
—
MP#: 02301
SAN FRANCISCO DEPT OF PUBLIC HEALTH, ENVIRONMENTAL HEALTH SECTIONS
CA
Enumeration date
11/15/2012
Last updated
11/15/2012
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