Individual
JENNY D ORTEGA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1911 CHURCH ST, BURBANK, CA 91504-3550
(818) 561-9257
Mailing address
1911 CHURCH ST, BURBANK, CA 91504-3550
(818) 561-9257
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60338
CA
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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