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Individual

JENNIFER MICHELLE VILLAFUERTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
5319 SUNRISE BLVD, FAIR OAKS, CA 95628-3539
(916) 965-3689
Mailing address
9794 UTICA CT, SACRAMENTO, CA 95827-2717
(916) 410-6226

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
225700000X
Massage Therapist
33179
CA

Other

Enumeration date
04/16/2019
Last updated
12/31/2024
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