Individual
JASMINE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25032 HIDDEN HILLS RD APT J, LAGUNA NIGUEL, CA 92677-8869
(949) 738-2952
Mailing address
25032 HIDDEN HILLS RD APT J, LAGUNA NIGUEL, CA 92677-8869
(949) 738-2952
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
37160
CA
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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