Individual
JORDAN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1340 CLAY ST, NAPA, CA 94559-2550
(925) 719-6042
Mailing address
108 CASSWALL ST, NAPA, CA 94558-5902
(925) 719-6042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92048
CA
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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