Individual
JIANA QUICHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3959 RUFFIN RD STE J, SAN DIEGO, CA 92123-1830
(858) 279-5570
Mailing address
764 RIVER ROCK RD, CHULA VISTA, CA 91914-2429
(619) 254-9385
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78942
CA
Other
Enumeration date
08/11/2022
Last updated
12/12/2024
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